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Alaska rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.23 / $10,175.36 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.76 / $1,819.32 / $3,235.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.76 / $1,819.32 / $3,235.75