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Maine rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $724.44 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,380.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,122.02