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Tennessee rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.30 / $395.84 / $600.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $303.30 / $303.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.42 / $365.42 / $365.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $1,581.00 / $1,581.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.17 / $308.17 / $308.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $401.36