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Tennessee rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.48 / $2,946.85 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.91 / $1,596.99 / $2,142.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.83 / $1,641.89 / $2,897.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.94 / $1,856.40 / $2,813.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,287.68 / $8,477.40 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,776.32 / $10,701.68 / $12,445.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.37 / $2,139.59 / $3,479.23