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Tennessee rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $17.89 / $30.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $17.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $20.77