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New Jersey rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.49 / $4,791.00 / $10,692.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,989.59 / $14,382.16 / $27,428.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,045.00 / $9,969.00 / $19,690.00