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Tennessee rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.03 / $2,422.05 / $3,054.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.05 / $3,054.40 / $3,128.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.84 / $1,690.70 / $1,834.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.70 / $3,900.80 / $5,347.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,991.00 / $7,728.00 / $14,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,155.20 / $3,200.00 / $3,200.00