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Tennessee rates for HCPCS J1557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $83.18 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $60.26 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $117.49