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Oregon rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.42 / $7,920.26 / $32,689.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.63 / $2,059.63 / $5,022.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.98 / $1,110.94 / $1,403.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.45 / $931.41 / $1,474.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $1,067.50 / $1,167.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.74 / $1,017.19 / $1,571.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,671.70 / $19,116.02 / $21,922.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $15,055.00 / $24,231.00