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Complex Repair Of A Salivary Duct

Wisconsin 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.

Facilitymedian $8,318 · 10th–90th $575$16,5960%5%10th90th$8,318Professionalmedian $1,175 · 10th–90th $661$1,9950%10%10th90th$1,175$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,698.24
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$2,818.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$12,022.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$1,202.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,995.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$16,982.44
Typical High
$16,982.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,022.64
Typical High
$15,848.93