go back

Pennsylvania rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.92 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $69.70 / $96.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.44 / $76.20 / $125.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.67 / $125.13 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $87.06 / $153.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.16 / $134.16 / $134.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.46 / $117.43 / $150.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.31 / $3,828.20 / $4,995.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,266.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.41 / $79.92 / $428.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $77.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $87.70 / $197.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.53 / $320.00 / $1,113.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $87.28 / $158.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $57.29 / $72.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $69.27 / $77.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $89.62 / $149.16