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Tennessee rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.67 / $2,794.39 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.93 / $1,111.17 / $1,749.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.01 / $1,383.01 / $1,383.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.00 / $5,269.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $1,214.42 / $1,987.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.00 / $3,203.00 / $4,038.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.52 / $1,219.15 / $1,973.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,375.48 / $7,375.48 / $8,421.08
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
$844.80 / $1,218.61 / $2,064.38