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Louisiana rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $279.60 / $610.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $260.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.13 / $180.85 / $233.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.20 / $233.20 / $237.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $204.63 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.21 / $216.90 / $254.90