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Texas rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.99 / $3,213.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.86 / $521.64 / $771.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.41 / $505.98 / $768.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.50 / $430.50 / $432.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.00 / $3,741.00 / $4,187.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.49 / $659.18 / $1,044.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,794.81 / $4,794.81 / $4,794.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.51 / $609.17 / $1,132.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $738.39 / $897.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $684.70 / $1,285.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.51 / $619.50 / $1,272.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.80 / $697.16 / $1,244.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,870.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $548.32 / $867.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.89 / $481.51 / $652.12