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Tennessee rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $79.83 / $8,761.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $57.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $101.71 / $101.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.05 / $226.55 / $226.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $89.05