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Tennessee rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.74 / $37.38 / $221.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $50.68
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $205.82 / $205.82