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Tennessee rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $50.72 / $79.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $53.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $50.12 / $115.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $229.79 / $229.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.79 / $229.79 / $229.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72