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Tennessee rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.47 / $388.67 / $552.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $315.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.86 / $1,641.45 / $1,641.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.67 / $1,255.67 / $1,255.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.22 / $309.70 / $353.07