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Tennessee rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $114.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $68.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $68.48 / $74.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.01 / $288.80 / $288.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $288.80 / $360.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $65.41 / $65.41