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New York rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $2,626.00 / $7,563.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $78.44 / $151.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $78.68 / $180.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.83 / $80.83 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $80.83 / $109.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.37 / $100.37 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.79 / $112.96 / $280.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $92.38 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $102.72 / $150.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.50 / $69.50 / $69.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $89.49 / $138.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.37 / $117.18 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $112.42 / $264.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,612.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.65 / $86.51 / $202.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $70.93 / $237.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $93.33 / $157.86