go back

Washington rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Facilitymedian $891 · 10th–90th $457–$16,2180%5%10%10th90th$891$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,677.35 / $21,877.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $912.01 / $8,317.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $741.31 / $5,248.07
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $831.76 / $912.01
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $616.60 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,218.10 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $16,982.44 / $33,113.11