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Tennessee rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $17.95 / $31.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.95 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $97.34