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Tennessee rates for HCPCS 42510

Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,678.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.83 / $723.28 / $1,087.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.00 / $3,549.00 / $5,730.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.44 / $833.62 / $1,337.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,754.69 / $3,125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.75 / $789.21 / $1,271.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,371.58 / $7,909.30 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,901.04 / $5,901.04 / $5,901.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,780.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.03 / $793.38 / $1,293.06