go back

Tennessee rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.09 / $430.60 / $734.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.09 / $430.60 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.39 / $492.86 / $1,731.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,877.54 / $2,223.41