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Pennsylvania rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.95 / $4,761.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.87 / $283.39 / $464.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $376.22 / $376.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $1,993.85 / $4,168.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.43 / $327.78 / $581.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.96 / $493.96 / $493.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.39 / $585.23 / $747.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.18 / $362.12 / $1,345.94
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.70 / $270.70 / $270.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $313.80 / $890.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $1,978.20 / $4,198.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.31 / $335.11 / $577.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.46 / $211.77 / $366.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.81 / $225.42 / $395.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.43 / $379.64 / $640.84