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North Carolina rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.11 / $1,635.00 / $9,902.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.95 / $2,998.55 / $5,088.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,997.51 / $5,654.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.11 / $637.49 / $968.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.00 / $3,165.00 / $26,542.00