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Tennessee rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.03 / $2,520.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.00 / $5,060.00 / $9,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $2,277.00 / $4,038.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.60 / $2,394.60 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,351.00 / $6,285.00