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Tennessee rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $8.01 / $12.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.16 / $6.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $95.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.76 / $5.24