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Tennessee rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $398.84 / $651.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $371.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.04 / $341.04 / $341.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.99 / $1,469.70 / $1,543.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.43 / $308.68 / $308.68