go back

Idaho rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.60 / $397.04 / $1,099.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.39 / $371.66 / $622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.25 / $500.88 / $1,099.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.46 / $430.86 / $724.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $513.27 / $645.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,803.94 / $7,744.17 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.96 / $501.97 / $758.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.24 / $455.83 / $701.50