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Tennessee rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $52.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00