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Washington, DC rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.17 / $2,080.00 / $4,975.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.54 / $502.67 / $1,055.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00