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New York rates for HCPCS 42510

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

Facilitymedian $4,571 · 10th–90th $1,023$10,4710%5%10th90th$4,571Professionalmedian $759 · 10th–90th $537$1,8200%10%10th90th$759$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $4,168.69 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $1,202.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,290.87 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $891.25 / $2,187.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $2,089.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $812.83 / $1,230.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,288.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $812.83 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,248.07 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $954.99 / $5,754.40
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $2,570.40
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,548.82