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Tennessee rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $623.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $366.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.55 / $386.83 / $787.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.50 / $1,215.00 / $1,423.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.00 / $2,835.00 / $2,835.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.55 / $349.02 / $349.02