go back

West Virginia rates for HCPCS 42507

Parotid Duct Diversion Bilateral Wilke Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.34 / $731.95 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.86 / $486.05 / $604.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.37 / $515.40 / $617.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.79 / $548.96 / $548.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $558.49 / $558.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.16 / $653.20 / $1,386.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.21 / $571.70 / $911.60