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Tennessee rates for HCPCS A2007

Restrata, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $200.86 / $351.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $200.86 / $205.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $256.52 / $278.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.90 / $484.00 / $907.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.60 / $961.40 / $1,089.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $220.00 / $220.00