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Tennessee rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $59.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $35.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $96.00 / $120.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $126.40 / $144.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.26 / $33.92 / $33.92