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Saliva Duct Rerouting With Gland Removal

Nationwide rates for HCPCS 42509

Redirects the openings of both large salivary ducts that carry saliva from the glands in front of the ears into the mouth, so saliva drains further back toward the throat and is swallowed rather than spilling from the lips. Both glands sitting under the jaw, which produce much of the resting saliva, are removed during the same operation. It is done for severe, constant drooling that has not improved with other treatments.

Rates data updated July 2026.

Facilitymedian $5,248 · 10th–90th $977$14,1250%5%10%10th90th$5,248Professionalmedian $977 · 10th–90th $759$2,2390%20%10th90th$977$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,677.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$8,709.64
Typical High
$17,782.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,238.72
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,096.48
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$2,089.30