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Tennessee rates for HCPCS Q4256

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $1,423.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $813.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.21 / $882.26 / $974.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.00 / $4,295.12 / $4,440.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,295.12 / $4,295.12 / $8,436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.30 / $735.05 / $735.05