go back

Tennessee rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $24.49 / $40.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $21.06 / $21.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $104.95 / $104.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.99 / $20.99