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
$426.58 / $1,778.28 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $363.08 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,698.24 / $6,309.57