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Complex Repair Of A Salivary Duct

Tennessee rates for HCPCS 42505

Rebuilds or reroutes the duct that carries saliva from a salivary gland into the mouth when it is blocked, scarred or injured. This is the more involved version, used when the damage is complicated or an earlier repair has not worked. The aim is to restore a clear path for saliva so the gland stops swelling.

Rates data updated July 2026.

How much does Complex Repair Of A Salivary Duct cost?

$3,981

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,239 to $6,607.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,096 to $9,772
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,981

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,570.40
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,165.95
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$3,311.31
Typical High
$3,801.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$33,884.42
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,370.32
Typical High
$10,000.00

Where Tennessee sits

The same service costs 24.5 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Tennessee $3,981 · 17th of 50
IN $13,804WV $562

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.