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North Carolina rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Facilitymedian $550 · 10th–90th $355–$4,2660%10%20%10th90th$550Professionalmedian $631 · 10th–90th $631–$6310%50%100%$631$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,621.81 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,819.70 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,019.95 / $5,370.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,897.79 / $10,232.93
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $45,708.82