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New Hampshire rates for HCPCS 42509

Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands

Facilitymedian $3,388 · 10th–90th $1,288–$14,7910%10%10th90th$3,388Professionalmedian $1,047 · 10th–90th $794–$1,9950%10%20%10th90th$1,047$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,019.95 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $891.25 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,623.41 / $9,120.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,621.81 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,202.26 / $2,041.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,202.26 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,570.88 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $2,511.89
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $446.68 / $1,000.00