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New Jersey rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.63 / $4,973.00 / $9,860.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.88 / $14,382.16 / $31,187.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,188.00 / $10,536.00