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Nebraska rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,363.43 / $9,544.15 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.40 / $10,415.37 / $18,278.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.13 / $746.88 / $1,207.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.65 / $1,276.73 / $4,831.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00