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California rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.22 / $6,486.00 / $18,315.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $7,007.00 / $15,529.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $8,114.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $3,461.93 / $9,842.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.60 / $499.03 / $749.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.32 / $491.65 / $869.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.60 / $2,454.78 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.26 / $526.55 / $791.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $7,042.00 / $14,743.00