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Saliva Duct Rerouting With Gland Removal

West Virginia 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.

How much does Saliva Duct Rerouting With Gland Removal cost?

$813

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $851 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$759 to $977
FacilityA hospital or hospital-owned outpatient department$851$813 to $1,413

How much rates vary

Facilitymedian $851 · 10th to 90th $813 to $2,344Professionalmedian $813 · 10th to 90th $741 to $1,175
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $851professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,548.13
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,412.54

Where West Virginia sits

The same service costs 3.0 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $813 · 51st of 51
CA $2,399WV $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.