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Tennessee rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.79 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.26 / $460.86 / $728.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,279.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.62 / $548.61 / $899.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.00 / $1,754.69 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.55 / $538.02 / $901.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.00 / $2,388.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.00 / $3,815.44 / $4,464.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,260.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.39 / $588.92 / $1,034.48