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Tennessee rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,543.89 / $3,307.06 / $5,543.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.89 / $2,608.16 / $3,078.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.89 / $2,759.89 / $3,119.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,732.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,469.35 / $3,556.16 / $13,367.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,064.38 / $12,064.38 / $12,064.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.43 / $4,411.16 / $5,747.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.92 / $2,608.16 / $3,077.63