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New Mexico 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
$654.91 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.62 / $626.64 / $878.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.32 / $686.32 / $1,651.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.69 / $887.29 / $1,190.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $936.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.41 / $745.33 / $1,046.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.97 / $986.97 / $1,592.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.79 / $895.05 / $1,341.37