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Tennessee rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $449.46 / $684.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $345.74 / $345.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.40 / $7,359.25 / $7,359.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54