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Tennessee rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,980.00 / $4,980.00 / $8,715.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,980.00 / $4,980.00 / $5,100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,500.00 / $5,830.00 / $6,325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.00 / $28,500.00 / $28,500.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,800.00 / $22,800.00 / $27,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00