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Simple Repair of a Salivary Duct

Maine rates for HCPCS 42500

Repairs or reopens the small duct that carries saliva from a salivary gland into the mouth when it has been injured, blocked or narrowed. In this straightforward version the duct is opened or reconstructed directly and stitched so saliva can drain normally again. It is done to relieve painful swelling of the gland, particularly at mealtimes.

Rates data updated July 2026.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $12,023
$1.0K$2.0K$5.0K$10.0Kfacility $692

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64