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Tennessee rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,069.00 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $5,081.00 / $9,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $3,671.00 / $4,939.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,385.84 / $16,547.20 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,937.00 / $10,111.00