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Montana 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
$508.89 / $611.73 / $3,229.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.89 / $965.89 / $965.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.41 / $859.41 / $1,739.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.67 / $856.65 / $1,185.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.70 / $974.87 / $1,624.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.76 / $1,035.45 / $1,266.74