go back

Louisiana rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,075.38 / $4,368.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,036.58 / $2,391.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.71 / $1,621.21 / $2,117.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.75 / $2,117.75 / $2,160.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,540.81