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Michigan rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.88 / $728.35 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.16 / $4,733.08 / $6,500.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.29 / $2,554.06 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,351.00