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Wisconsin rates for HCPCS 42505

Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.63 / $1,187.42 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,038.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.41 / $1,795.42 / $2,754.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.38 / $644.34 / $1,158.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $697.12 / $7,301.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.38 / $644.34 / $1,158.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.36 / $1,373.33 / $2,011.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.68 / $3,255.42 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,733.00 / $13,980.00