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Tennessee rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.67 / $0.67