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Tennessee rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $7.63 / $11.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.63 / $11.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.10 / $13.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.10 / $93.71 / $99.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $6.75 / $8.44