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Tennessee rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $3,567.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $2,038.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.51 / $2,211.59 / $2,623.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.84 / $6,650.73 / $8,437.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,450.00 / $10,260.00 / $10,463.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.52 / $1,902.62 / $1,902.62