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Tennessee rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $3,172.91 / $5,186.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,953.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.36 / $2,555.83 / $2,924.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.21 / $3,247.64 / $12,207.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,655.19 / $10,655.19 / $10,655.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.98 / $2,429.89 / $2,816.49