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Tennessee rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.18 / $2,520.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.23 / $383.09 / $721.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.00 / $3,500.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.70 / $439.66 / $729.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.33 / $550.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.88 / $420.94 / $724.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.40 / $1,832.40 / $2,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.00 / $3,092.48 / $3,627.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,335.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.97 / $477.67 / $841.40