go back

Tennessee rates for RC 0255

Pharmacy - Drugs Incident to Radiology

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.00 / $2,750.00 / $2,750.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.17 / $76.95 / $161.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.00 / $2,146.00 / $3,929.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $38.79 / $45.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,850.00 / $3,850.00 / $3,850.00