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Tennessee rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.79 / $100.79 / $199.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $100.79 / $100.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.46 / $118.46 / $118.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $734.60 / $734.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $103.22