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Tennessee rates for HCPCS J2507

Pegloticase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $4,730.52 / $7,732.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,660.83 / $4,403.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,397.82 / $4,397.82 / $4,397.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,742.55 / $17,826.59 / $18,304.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,919.73