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Tennessee rates for HCPCS A6503

Compression Burn Garment Facial Hood Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $87.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $187.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $139.60 / $139.60