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Tennessee rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $340.95 / $553.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $581.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $211.37 / $247.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.50 / $1,250.00 / $2,500.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.51 / $2,321.37 / $4,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $553.94