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Tennessee rates for HCPCS J1455

Foscarnet Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $20.25 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $18.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $78.55 / $78.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $411.35 / $411.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $72.48