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Tennessee rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.35 / $1,285.44 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $143.78 / $217.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $145.00 / $623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $145.96 / $265.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $104.94 / $165.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $136.36 / $272.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $610.19 / $701.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.16 / $1,903.64 / $3,063.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.62 / $184.35 / $377.57