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Tennessee rates for HCPCS Q9953

Injection, iron-based magnetic resonance contrast agent, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $14.55 / $26.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.55 / $14.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $93.09 / $99.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $62.05 / $62.05