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Pennsylvania rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $1,412.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,659.59 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $1,023.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $891.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $831.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,621.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $588.84 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,148.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,168.69 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $870.96