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Washington rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.77 / $1,161.28 / $21,541.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.78 / $15,449.66 / $26,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $918.00 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.71 / $783.00 / $5,194.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.40 / $836.16 / $911.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.29 / $904.15 / $3,953.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,595.73 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00