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Maine rates for HCPCS 42510

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.13 / $737.66 / $811.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.01 / $825.90 / $1,252.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.32 / $686.32 / $863.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.78 / $856.72 / $1,327.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.50 / $875.14 / $1,369.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.13 / $737.66 / $1,458.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.88 / $940.74 / $1,226.11