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Alaska rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.22 / $9,577.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.77 / $2,431.19 / $4,172.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.77 / $2,431.19 / $4,172.52