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Tennessee rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $18.36 / $30.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $17.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.29 / $27.29 / $27.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.58