go back

Tennessee rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $67.43 / $3,067.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $48.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.38 / $98.38 / $98.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.40 / $430.71 / $716.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $113.10