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Tennessee rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $36.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $21.50 / $23.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.79 / $90.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.79 / $90.79 / $90.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $19.97 / $19.97