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Tennessee rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $278.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $163.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $172.41 / $179.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.91 / $654.50 / $654.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $174.81