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Tennessee rates for HCPCS A4680

Activated carbon filter, ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $31.67 / $43.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.83 / $85.00 / $242.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.54 / $358.32 / $373.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.46 / $34.70