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Tennessee rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.40 / $398.40 / $697.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $398.40 / $408.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $960.00 / $1,800.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.00 / $1,824.00 / $2,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $480.00