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Tennessee rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.31 / $461.36 / $578.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $484.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $358.35 / $501.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $2,300.41 / $3,171.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,092.01 / $3,610.00 / $3,975.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $461.36 / $461.36