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West Virginia rates for HCPCS 42500

Plastic repair of salivary duct, sialodochoplasty; primary or simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.76 / $432.42 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.56 / $363.11 / $434.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $582.25 / $582.25