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West 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
$450.69 / $556.55 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.17 / $482.50 / $579.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.68 / $773.68 / $773.68