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Tennessee rates for HCPCS A2014

Omeza Collagen Matrix or Omeza Complete Matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.61 / $127.61 / $223.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $130.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $149.40 / $162.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $162.97 / $267.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.75 / $461.25 / $607.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.72 / $128.13 / $128.13