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Tennessee rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $144.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $94.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $82.42 / $93.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,668.00 / $1,668.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.00 / $1,884.84 / $1,884.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $89.75 / $89.75