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Tennessee rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $53.70 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $13.49 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $44.67 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.76