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Tennessee rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $95.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.70 / $116.70 / $116.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.13 / $125.13 / $125.13