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Tennessee rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,854.35 / $6,116.49 / $8,689.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,854.35 / $4,971.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,060.60 / $24,957.02 / $25,866.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,212.69 / $24,212.69 / $39,884.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,630.17 / $4,873.85 / $5,425.63