go back

Tennessee rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $168.45 / $282.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $156.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.23 / $647.40 / $647.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47