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North Carolina rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.41 / $475.41 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.41 / $336.96 / $464.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.49 / $442.70 / $800.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $1,622.55 / $2,702.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.14 / $379.34 / $765.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.41 / $355.36 / $542.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $1,207.00 / $1,894.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.70 / $313.80 / $805.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,208.00 / $9,324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.38 / $379.21 / $822.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.44 / $1,516.44 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.00 / $2,681.20 / $3,150.08