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Alaska rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.26 / $11,709.00 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.90 / $397.04 / $1,887.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.94 / $453.17 / $1,129.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.57 / $1,130.70 / $2,642.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.04 / $1,158.03 / $2,352.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.50 / $1,192.00 / $1,960.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.35 / $1,130.70 / $2,642.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.27 / $969.96 / $1,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.84 / $908.00 / $2,353.96