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Tennessee rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $52.75 / $85.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $55.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $213.92 / $213.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.92 / $213.92 / $213.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.11 / $52.75 / $52.75