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Tennessee rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.61 / $2.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.25 / $1.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.40 / $2.40