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Louisiana rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $50.76 / $163.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.61 / $43.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.35 / $28.56 / $39.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $39.38 / $40.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $36.28 / $41.76