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Tennessee rates for HCPCS Q4176

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.69 / $157.69 / $275.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $157.69 / $161.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.26 / $195.32 / $211.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.50 / $380.00 / $712.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $722.00 / $855.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $167.51 / $167.51