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Tennessee rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $74.13 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $54.95 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $64.57