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Tennessee rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $53.73 / $13,516.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $135.06 / $135.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.06 / $135.06 / $135.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $29.91 / $29.91