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Tennessee rates for HCPCS J1429

Injection Golodirsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.36 / $159.36 / $278.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $159.36 / $159.36
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 / $831.65 / $831.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $163.19