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Tennessee rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $1,256.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $717.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.78 / $738.09 / $812.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.76 / $1,215.45 / $3,792.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,792.20 / $3,792.20 / $3,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.45 / $663.63 / $663.63