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Tennessee rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $77.76 / $495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $75.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $17.00 / $25.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
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
$1,506.04 / $1,506.04 / $1,506.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18