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Ohio rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.55 / $3,785.00 / $9,863.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $3,528.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.83 / $389.81 / $482.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.00 / $4,048.28 / $5,935.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.00 / $4,048.28 / $4,422.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00