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Tennessee rates for HCPCS 72255

Myelography, thoracic, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.07 / $95.07 / $177.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $99.44 / $147.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $163.22 / $257.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.89 / $210.78 / $626.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $164.62 / $322.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.72 / $558.27 / $558.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.72 / $1,222.32 / $1,222.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.39 / $150.05 / $235.59