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Iowa rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,363.43 / $5,091.00 / $7,120.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,285.00 / $1,285.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.08 / $787.16 / $2,307.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.72 / $1,182.72 / $7,379.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.65 / $1,415.54 / $5,269.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $7,487.00 / $11,732.00