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Tennessee rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,969.89 / $3,131.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,068.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.10 / $2,624.67 / $2,847.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,566.14 / $4,051.80 / $5,402.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,454.20 / $10,264.56 / $12,155.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.79 / $1,969.89 / $1,969.89