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Tennessee rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.33 / $90.33 / $98.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $95.35 / $169.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $180.71 / $180.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.32 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $121.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.73 / $928.37 / $945.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.54 / $1,164.54 / $1,415.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $95.36 / $132.60