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Tennessee rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.36 / $207.17 / $315.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $159.36 / $159.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $837.25 / $837.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $163.19