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Tennessee rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $657.16 / $1,074.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $611.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.04 / $563.04 / $563.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.98 / $2,423.75 / $2,423.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $508.76