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Tennessee rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.91 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.40 / $1,177.66 / $1,673.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.09 / $1,216.04 / $2,125.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.14 / $1,290.38 / $2,083.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.36 / $6,095.10 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,293.36 / $8,629.20 / $10,200.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.82 / $1,478.59 / $2,725.04