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Tennessee rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $116.70 / $4,086.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $96.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $88.80 / $88.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.35 / $384.75 / $396.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $79.26 / $79.26