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Montana rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Facilitymedian $631 · 10th–90th $457$9120%20%10th90th$631$500.0$2.0K$10.0K$50.0K

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $831.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $12,022.64