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Arizona rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $3,280.17 / $5,374.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.77 / $464.82 / $952.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,311.00 / $5,133.00