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Tennessee rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $22.76 / $37.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $21.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $113.10 / $113.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $22.74