go back

Tennessee rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,794.39 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $1,066.06 / $2,594.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.00 / $5,081.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.65 / $1,160.20 / $1,933.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.00 / $3,203.00 / $4,038.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.23 / $1,160.25 / $1,892.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.31 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.67 / $9,862.15 / $9,862.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,937.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.28 / $1,185.68 / $1,959.10