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Tennessee rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $117.49 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.49 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $57.54 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $19.95 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $17.38 / $28.18