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Tennessee rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $25.04 / $38.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $27.19 / $37.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $42.64 / $101.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $199.56 / $202.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.80 / $418.74 / $435.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $19.67 / $24.98