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Tennessee rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $116.06 / $6,920.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $70.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.62 / $68.19 / $79.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.32 / $333.17 / $768.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $410.00 / $779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27