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Tennessee rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $93.16 / $152.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $86.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.79 / $106.79 / $106.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $333.20 / $400.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $95.09