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Louisiana rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Facilitymedian $2,570 · 10th–90th $676–$6,6070%5%10th90th$2,570$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,949.84 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,760.83 / $10,715.19
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $302.00 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $812.83 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,884.03 / $9,120.11