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Arkansas rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.39 / $1,152.88 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $693.00 / $4,337.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00