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North Dakota rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.84 / $439.80 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.84 / $524.90 / $1,057.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $1,530.00 / $1,530.00