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Tennessee rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $208.93 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $691.83