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Tennessee rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.93 / $107.11 / $275.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.36 / $114.54 / $151.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.77 / $145.19 / $219.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.83 / $143.51 / $251.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.80 / $519.17 / $519.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.29 / $686.29 / $863.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.24 / $139.40 / $229.55