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Tennessee rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.00 / $2,678.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $5,060.00 / $9,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,813.00 / $4,038.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,532.24 / $16,547.20 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.00 / $3,160.00 / $6,285.00