go back

Tennessee rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $101.72 / $176.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $106.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.71 / $104.51 / $270.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.98 / $515.16 / $515.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.16 / $515.16 / $515.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.63 / $101.72 / $101.72