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Tennessee rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $47.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $38.40 / $38.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $126.78 / $126.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $28.99