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Tennessee rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.02 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.42 / $2.42