| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.23 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $417.76 | $1,819.32 | $3,235.75 | |
Providence
| Facility | $417.76 | $1,819.32 | $3,235.75 |
Plastic repair of salivary duct, sialodochoplasty; primary or simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.23 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $417.76 | $1,819.32 | $3,235.75 | |
Providence
| Facility | $417.76 | $1,819.32 | $3,235.75 |