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New York rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.24 / $3,352.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.84 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.68 / $773.68 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $526.00 / $1,197.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.53 / $536.53 / $1,040.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $773.68 / $7,771.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $13,746.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.07 / $554.07 / $1,873.32