go back

South Dakota rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,148.15 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,348.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,174.90