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New Hampshire rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.56 / $1,646.33 / $6,382.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.40 / $2,472.40 / $2,558.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00