go back

Montana rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.86 / $730.86 / $730.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.99 / $682.31 / $1,034.14