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Tennessee rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $685.33 / $1,226.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $476.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $445.90 / $471.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $395.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.86 / $1,973.75 / $1,973.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $396.36