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Tennessee rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,821.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.50 / $490.34 / $747.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.00 / $3,457.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.05 / $562.36 / $927.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.00 / $1,487.00 / $1,930.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.37 / $554.99 / $925.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.30 / $2,469.30 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.00 / $3,913.20 / $4,579.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.96 / $621.21 / $1,080.17