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Virginia rates for HCPCS 42509

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

Facilitymedian $1,549 · 10th–90th $871$9,7720%10%10th90th$1,549Professionalmedian $955 · 10th–90th $759$1,6220%10%20%10th90th$955$500.0$1.0K$2.0K$5.0K$10.0K$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
$977.24 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $891.25 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $851.14 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,951.21 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,000.00 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $831.76 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,202.26 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,096.48 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,819.70
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $3,548.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $10,000.00 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,000.00 / $1,621.81