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Arizona rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.60 / $2,918.30 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $3,280.17 / $5,374.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.97 / $603.38 / $1,233.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00