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Tennessee rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.93 / $744.93 / $1,303.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $744.93 / $762.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.75 / $856.22 / $928.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $1,795.00 / $3,365.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,410.50 / $3,410.50 / $4,038.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.63 / $1,997.50 / $1,997.50