go back

Tennessee rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.71 / $891.89 / $1,292.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.53 / $916.31 / $1,644.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.02 / $983.05 / $1,542.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,475.43 / $5,985.68 / $6,982.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.63 / $1,201.75 / $2,097.30