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Tennessee rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $124.50 / $217.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $124.50 / $127.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $217.50 / $562.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $570.00 / $570.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $150.00 / $150.00