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Montana rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.51 / $550.51 / $550.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.29 / $502.64 / $804.54