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Missouri rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.03 / $520.97 / $771.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.85 / $606.66 / $948.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.28 / $671.84 / $1,093.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.31 / $749.68 / $5,246.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.85 / $896.54 / $4,794.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.00 / $4,000.00 / $9,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.65 / $720.71 / $1,236.74