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Tennessee rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.88 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.42 / $67.56 / $86.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $150.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $84.45 / $121.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.49 / $72.04 / $86.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $70.95 / $135.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $714.13 / $817.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.17 / $1,826.96 / $3,583.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $85.65 / $162.36