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Tennessee rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.31 / $1,240.30 / $2,139.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.00 / $5,313.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.82 / $1,389.83 / $2,245.25
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
$983.24 / $1,364.56 / $2,223.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,993.70 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,430.60 / $11,430.60 / $11,430.60
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
$956.82 / $1,382.32 / $2,347.32