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Tennessee rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.51 / $1.51