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Tennessee rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $162.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $93.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $95.75 / $105.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $384.93 / $384.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.14 / $436.14 / $436.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41