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Minnesota rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.68 / $557.59 / $6,205.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.37 / $9,458.16 / $20,811.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.83 / $2,036.51 / $4,899.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.76 / $1,795.54 / $3,857.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.37 / $933.57 / $1,647.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00