go back

Delaware rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.20 / $1,174.46 / $4,736.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $3,200.76 / $3,200.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $1,485.00 / $1,485.00