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Tennessee rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $83.18 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.32 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.47 / $20.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $9.33 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.33 / $14.79