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Tennessee rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.56 / $179.56 / $254.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $115.65 / $187.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,364.00 / $2,024.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.80 / $140.27 / $218.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $147.04 / $237.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $475.00 / $475.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.64 / $916.88 / $1,091.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.56 / $133.00 / $257.66