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Tennessee rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $9.74 / $15.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.25 / $15.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $16.57 / $39.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.35 / $167.85 / $174.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $7.65 / $9.71