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Tennessee rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $137.93 / $190.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $144.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.37 / $329.31 / $1,027.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.45 / $1,027.45 / $1,027.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.03 / $137.93 / $137.93