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Missouri 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
$1,547.00 / $4,610.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.88 / $640.05 / $941.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.42 / $758.40 / $1,173.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.00 / $3,125.00 / $3,125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.21 / $830.78 / $1,345.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.14 / $931.49 / $5,504.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.80 / $1,100.72 / $5,901.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.66 / $3,796.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.60 / $882.25 / $1,632.54