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Indiana rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.61 / $834.00 / $11,831.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $7,200.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.29 / $410.76 / $557.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $615.00 / $3,909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00