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Illinois rates for HCPCS 42505

Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.36 / $2,074.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,024.76 / $7,216.87 / $10,606.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.00 / $875.00 / $5,676.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.01 / $842.50 / $3,006.24
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00