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Tennessee rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $164.84 / $388.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $169.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.83 / $171.05 / $446.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.65 / $758.53 / $1,674.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.96 / $1,697.27 / $2,009.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62