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Tennessee rates for HCPCS Q4254

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $622.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $373.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $559.67 / $607.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $960.00 / $1,800.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.00 / $1,824.00 / $2,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $480.00