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Tennessee rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.71 / $855.71 / $1,062.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $1,021.33 / $1,449.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.26 / $1,490.94 / $1,490.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $125.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.42 / $7,674.31 / $7,674.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,311.57 / $8,311.57 / $12,061.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $77.00 / $114.17