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Tennessee rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $8.91 / $13.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.94 / $34.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $12.16 / $16.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $15.20 / $36.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.27 / $101.28 / $126.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $293.29 / $305.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.12 / $8.90