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Tennessee rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $2,678.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $5,269.00 / $9,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,813.00 / $4,038.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.00 / $3,165.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,937.00 / $10,111.00