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New Hampshire rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,232.75 / $2,678.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00