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Tennessee rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,445.44 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $138.04 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $151.36 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $134.90 / $275.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $141.25 / $302.00