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Tennessee rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $23.91 / $39.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $22.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $29.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.75 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.01