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Tennessee rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.18 / $106.70 / $3,494.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $117.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $91.70 / $564.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $604.19 / $604.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.75 / $1,448.75 / $1,448.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70