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Louisiana rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $160.51 / $163.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $163.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $35.57 / $163.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.63 / $163.63 / $163.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $270.95