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Tennessee rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $2,038.46 / $8,153.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $61.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.62 / $108.62 / $108.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.02 / $245.90 / $253.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $97.85