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Tennessee rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $17.67 / $26.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.59 / $13.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $16.37 / $16.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.90 / $90.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.91