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Tennessee rates for HCPCS Q9992

Injection, buprenorphine extended-release (Sublocade), greater than 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,490.44 / $4,306.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,391.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.91 / $9,626.15 / $10,082.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,159.69