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Tennessee rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $106.97 / $113.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $112.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $66.58 / $112.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.05 / $167.68 / $171.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.11 / $268.45 / $504.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.62 / $106.97 / $106.97