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Tennessee rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $98.04 / $178.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $98.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.56 / $134.56 / $134.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.08 / $394.00 / $405.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $116.08