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Tennessee rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $556.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $333.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $318.00 / $360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.50 / $1,637.39 / $2,027.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.29 / $1,994.29 / $1,994.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00