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Tennessee rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $853.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $511.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $501.39 / $551.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.00 / $1,530.45 / $1,921.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,386.13 / $2,386.13 / $3,067.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59