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Tennessee rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $1,647.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $941.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.46 / $975.26 / $1,065.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.50 / $1,812.38 / $5,654.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,654.61 / $5,654.61 / $5,654.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.26 / $1,609.18 / $2,096.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50