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Hawaii rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.95 / $503.57 / $603.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.58 / $1,244.58 / $1,244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.13 / $630.69 / $1,147.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.16 / $756.31 / $869.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.22 / $608.96 / $710.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.18 / $634.34 / $1,063.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.96 / $2,582.96 / $6,124.00