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Tennessee rates for HCPCS 42235

Repair of anterior palate, including vomer flap

Facilitymedian $4,074 · 10th–90th $1,259–$9,5500%5%10th90th$4,074Professionalmedian $813 · 10th–90th $692–$1,4450%20%10th90th$813$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,691.53 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,025.60 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,162.28 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,495.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,412.54