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Tennessee rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $622.98 / $1,077.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $598.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.34 / $2,422.00 / $2,477.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.84 / $495.55 / $495.55