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Tennessee rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.07 / $2,096.55 / $2,096.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,096.56 / $2,147.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.48 / $2,523.87 / $2,709.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.67 / $5,051.96 / $9,472.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,840.93 / $9,598.71 / $11,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,147.08