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Tennessee rates for HCPCS Q4028

Cast Supplies Hip Spica (One Or Both Legs) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $43.30 / $67.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $47.01 / $64.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $73.73 / $174.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.87 / $345.06 / $350.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.98 / $648.41 / $674.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.52 / $34.00 / $43.20