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Maryland rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,270.51 / $2,270.51 / $2,270.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,754.30 / $3,914.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.70 / $551.99 / $804.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $964.00 / $2,489.00