go back

Iowa rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $3,795.64 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $80.18 / $146.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $158.05 / $214.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $102.07 / $200.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.88 / $146.02 / $2,146.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $172.80 / $555.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $138.93 / $200.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $158.53 / $207.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $161.50 / $197.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $138.97 / $241.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.08 / $136.69 / $169.90