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Tennessee rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.95 / $12.95 / $22.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.95 / $13.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $15.16 / $16.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $552.50 / $552.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.41 / $1,391.41 / $1,391.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00