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Tennessee rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $72.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $45.08 / $1,107.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $1,710.00 / $1,710.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,990.00 / $3,990.00 / $3,990.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31