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Oklahoma rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $4,192.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.22 / $6,585.53 / $10,443.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.15 / $672.86 / $4,705.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95