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Indiana rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $18,197.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $489.78 / $562.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $831.76