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Wisconsin rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Facilitymedian $9,120 · 10th–90th $617–$16,9820%5%10th90th$9,120Professionalmedian $1,175 · 10th–90th $646–$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,174.90 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $2,884.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $12,022.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,174.90 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $16,595.87 / $16,595.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $15,848.93