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Tennessee rates for HCPCS 0558T

Computed tomography scan taken for the purpose of biomechanical computed tomography analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $312.00 / $1,068.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $325.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.12 / $290.55 / $469.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.05 / $254.26 / $353.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $393.87 / $1,064.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.62 / $1,182.70 / $1,182.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.84 / $1,219.09 / $1,908.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $241.28 / $423.33