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Montana rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.93 / $498.84 / $2,636.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.65 / $787.65 / $787.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.11 / $700.54 / $1,386.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.98 / $692.82 / $967.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.29 / $794.24 / $1,323.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.11 / $841.34 / $1,381.03