go back

Kentucky rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.49 / $442.95 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.76 / $443.02 / $511.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $582.25 / $582.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $945.00 / $6,295.00