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Tennessee rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.72 / $1,088.36 / $1,904.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.76 / $675.12 / $921.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.51 / $1,051.21 / $1,782.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.55 / $1,361.33 / $2,128.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.28 / $1,140.58 / $1,928.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.32 / $5,379.71 / $5,379.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,190.18 / $5,190.18 / $8,416.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.98 / $953.93 / $1,911.10