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Tennessee rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.52 / $134.52 / $235.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $134.52 / $137.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $163.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.54 / $238.54 / $238.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $162.08 / $162.08