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Pennsylvania rates for HCPCS 42509

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

Facilitymedian $5,370 · 10th–90th $1,047–$8,5110%10%10th90th$5,370Professionalmedian $912 · 10th–90th $759–$1,6600%20%40%10th90th$912$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $891.25 / $1,621.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,230.27 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $2,290.87 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $977.24 / $1,659.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,479.11
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,388.44 / $5,248.07
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,318.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $870.96 / $1,737.80
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,348.96 / $1,905.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $891.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,897.79 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $1,548.82