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Tennessee rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $915.09 / $1,142.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $960.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.95 / $652.66 / $738.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $2,153.31 / $2,153.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.35 / $3,021.52 / $3,610.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.64 / $915.09 / $915.09