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Tennessee rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $1,562.60 / $6,678.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $958.65 / $981.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.75 / $1,154.04 / $1,238.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.25 / $4,014.44 / $4,331.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,389.00 / $4,389.00 / $5,197.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $981.75