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Tennessee rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,723.00 / $5,729.00 / $5,729.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.49 / $2,630.50 / $3,512.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $232.24 / $1,316.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.00 / $2,883.00 / $6,000.00