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Virginia rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.67 / $4,771.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.00 / $988.00 / $3,282.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.26 / $672.32 / $960.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.42 / $694.88 / $1,022.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.36 / $589.88 / $1,072.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.00 / $10,466.00 / $21,401.00