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Tennessee rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $13.51 / $19.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $10.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $16.42