go back

Hawaii rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.58 / $1,244.58 / $1,244.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.48 / $517.77 / $658.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00