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New Mexico rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.06 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.05 / $8,740.11 / $13,916.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $582.25 / $3,456.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.48 / $457.96 / $653.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $6,599.00 / $7,158.00