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Tennessee rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,376.68 / $2,400.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.94 / $2,546.04 / $3,160.00