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New York rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,630.78 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,548.82 / $7,762.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $1,202.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,265.80 / $10,964.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $416.87 / $1,380.38