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Iowa rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $5,091.00 / $7,119.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,089.00 / $1,089.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.52 / $605.44 / $1,245.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.14 / $894.76 / $5,383.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.91 / $1,067.38 / $5,269.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $5,327.00 / $8,342.00