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Arizona rates for HCPCS 42510

Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.24 / $640.01 / $941.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.60 / $2,918.30 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.44 / $713.65 / $829.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $1,567.87 / $2,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.69 / $716.70 / $1,343.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.66 / $732.44 / $6,014.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.08 / $703.92 / $5,901.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,765.22 / $5,516.00 / $8,586.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.04 / $666.89 / $1,161.46