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Virginia rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.70 / $2,840.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $76.72 / $131.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.61 / $78.36 / $116.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $68.51 / $137.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.54 / $100.37 / $610.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $90.35 / $158.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $88.96 / $148.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.34 / $91.79 / $141.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $118.00 / $145.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.91 / $74.51 / $134.87
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.55 / $101.73 / $180.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $91.62 / $150.16