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Plasminogen Injection

Tennessee rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $30Professionalmedian $30 · 10th to 90th $30 to $30
facility $30professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.02
Median
$3.02
Typical High
$3.02