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Indiana rates for HCPCS 42505

Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.18 / $1,030.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $8,512.00 / $16,305.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.05 / $543.47 / $714.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $773.68 / $3,909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00