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Indiana rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.93 / $402.18 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $301.54 / $464.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $8,240.00 / $17,296.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.08 / $219.50 / $342.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.75 / $259.68 / $465.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.15 / $384.58 / $502.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $761.00 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $323.07 / $542.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.14 / $347.16 / $601.03