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Georgia rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.93 / $4,329.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.50 / $2,601.00 / $7,513.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.47 / $605.47 / $605.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $703.00 / $3,685.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.25 / $512.94 / $913.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.00 / $3,895.00 / $6,995.00