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Minnesota rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.82 / $439.33 / $4,557.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.40 / $9,212.18 / $20,811.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.97 / $1,598.15 / $3,844.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.36 / $1,409.05 / $3,027.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.23 / $710.75 / $1,294.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.00 / $4,746.00 / $8,812.00