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Rhode Island rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,706.14 / $4,259.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $5,421.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $3,447.00 / $7,350.00