go back

Tennessee rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $675.38 / $1,103.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $628.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.48 / $576.48 / $576.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.04 / $2,488.50 / $2,544.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $513.98