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Louisiana rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.08 / $628.62 / $1,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.80 / $1,294.80 / $1,560.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.17 / $377.17 / $565.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $377.17 / $384.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,300.00 / $1,560.00