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Virginia rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.88 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.41 / $567.07 / $699.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.37 / $588.71 / $832.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.29 / $545.07 / $1,847.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $925.00 / $3,282.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.95 / $638.41 / $1,074.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.93 / $574.65 / $875.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.82 / $656.84 / $1,007.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.00 / $722.17 / $1,169.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.78 / $642.37 / $1,162.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.78 / $642.37 / $1,162.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.00 / $10,466.00 / $21,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.40 / $640.79 / $1,022.25