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Tennessee rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $225.73 / $378.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.38 / $238.46 / $298.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.60 / $178.55 / $212.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $255.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,492.28 / $10,081.35 / $10,081.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,586.83 / $16,586.83 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.31 / $238.46 / $283.77