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Kansas rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $6,071.00 / $12,237.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.10 / $2,652.12 / $2,720.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,365.00 / $3,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.14 / $708.24 / $4,133.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00