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Arizona rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.32 / $306.79 / $542.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.59 / $4,605.95 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.19 / $327.55 / $474.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.67 / $1,567.87 / $2,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.82 / $325.69 / $597.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.64 / $350.20 / $718.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $404.02 / $2,803.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,311.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.51 / $344.17 / $649.89