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Tennessee rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.88 / $185.01 / $867.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.88 / $187.04 / $330.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.78 / $252.93 / $419.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.92 / $505.43 / $802.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.05 / $287.85 / $486.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.84 / $1,229.45 / $1,229.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.29 / $1,334.29 / $1,766.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.17 / $441.76 / $828.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.43 / $251.56 / $526.73