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Kansas rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,919.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,933.37 / $3,442.39 / $3,957.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $3,150.00 / $3,644.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.71 / $542.62 / $2,393.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.00 / $3,096.00 / $5,562.00