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Tennessee rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $250.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $142.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $146.90 / $450.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.50 / $637.37 / $637.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,287.69 / $2,287.69 / $2,287.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.31 / $131.90 / $131.90