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Colorado rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $3,133.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $800.00 / $2,530.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.10 / $515.84 / $736.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.22 / $587.04 / $892.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $6,090.00 / $11,599.00