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Tennessee rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.90 / $3,292.00 / $10,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.99 / $330.08 / $512.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.00 / $3,323.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.92 / $364.32 / $607.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,754.69 / $4,445.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.82 / $346.78 / $605.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.44 / $1,516.44 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.00 / $2,681.20 / $3,150.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,351.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.20 / $415.37 / $724.94