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Tennessee rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $13.45 / $26.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $13.45 / $13.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
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
$40.09 / $40.09 / $40.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.77