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Tennessee rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.40 / $192.92 / $293.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $148.40 / $148.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.80 / $178.80 / $670.50