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Tennessee rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $73.48 / $121.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $25.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.85 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.24 / $527.24 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.96 / $0.96