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Tennessee rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,427.45 / $2,398.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,498.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,409.52 / $1,551.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.10 / $6,444.03 / $6,525.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,444.03 / $6,525.00 / $6,612.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.09 / $2,288.69 / $2,982.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.08 / $1,427.45 / $1,427.45