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Illinois rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.07 / $1,758.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.33 / $5,820.61 / $9,928.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $709.00 / $5,676.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.90 / $653.16 / $1,622.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,951.00 / $6,482.00