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Arkansas rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.99 / $1,083.00 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $561.00 / $3,140.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,485.00 / $3,384.00