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Tennessee rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $280.00 / $280.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.00 / $280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $207.00 / $336.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.12 / $901.12 / $1,920.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $56.00 / $88.99