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Tennessee rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $726.13 / $1,186.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $675.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.16 / $627.16 / $627.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.72 / $2,714.60 / $2,792.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46