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Tennessee rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.86 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.05 / $188.86 / $293.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,364.00 / $2,186.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.75 / $214.94 / $383.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $211.69 / $371.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $834.72 / $842.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,470.32 / $1,716.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.58 / $298.24 / $563.04