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Tennessee rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.06 / $89.26 / $138.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $96.92 / $133.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $151.99 / $360.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.34 / $711.31 / $721.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.71 / $869.14 / $1,139.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $71.31 / $89.06