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Pennsylvania rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,606.93 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $741.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,096.48 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $575.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $758.58
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,370.32 / $10,964.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $398.11 / $1,047.13
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $630.96 / $776.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $204.17 / $363.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $213.80 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $501.19