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Tennessee rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $69.25 / $105.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $53.27 / $53.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $64.18 / $64.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $299.05 / $299.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $56.42 / $56.42