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Tennessee rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.70 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $175.70 / $272.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.00 / $2,094.00 / $2,849.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $202.43 / $344.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.14 / $198.71 / $355.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $819.06 / $819.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.16 / $1,409.04 / $1,662.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,260.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.57 / $288.95 / $516.73