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New Mexico rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.09 / $7,838.38 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,961.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.68 / $773.68 / $3,456.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.95 / $606.05 / $901.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00