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Tennessee rates for HCPCS Q4108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $85.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $42.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $50.51 / $55.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $197.96 / $197.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.96 / $197.96 / $199.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54