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Utah rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $891.25 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $891.25