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Maryland rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.97 / $1,415.97 / $2,174.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $76.25 / $178.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.34 / $68.51 / $93.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.23 / $48.03 / $629.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.99 / $88.78 / $173.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $91.63 / $133.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $90.81 / $148.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $89.60 / $110.52