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Pennsylvania rates for HCPCS 42507

Parotid Duct Diversion Bilateral Wilke Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.86 / $509.89 / $630.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.80 / $508.29 / $508.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $2,019.00 / $8,051.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.85 / $624.12 / $1,001.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.29 / $1,105.29 / $1,105.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.23 / $774.91 / $990.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.86 / $567.07 / $2,636.16
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.29 / $549.29 / $549.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $658.50 / $1,285.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,657.00 / $7,661.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.85 / $623.80 / $1,072.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.56 / $485.41 / $485.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.64 / $485.41 / $516.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.96 / $585.67 / $985.13