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Tennessee rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $77.62 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $19.50 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $21.38 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.49 / $28.18