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New Hampshire rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $977.24 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,288.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $1,380.38
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $512.86 / $630.96