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Tennessee rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $108.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.98 / $76.98 / $104.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.25 / $5,055.12 / $5,503.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.35 / $5,979.29 / $8,078.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.73 / $1,438.66 / $1,438.66