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Tennessee rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,258.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,487.00 / $2,244.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $123.63 / $428.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.89 / $51.03 / $51.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00