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Tennessee rates for HCPCS Q4183

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $83.00 / $145.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $83.00 / $85.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $95.40 / $103.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $200.00 / $375.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.87 / $160.91 / $160.91