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Washington rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,818.38 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $933.25
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $524.81 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $144.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $758.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $549.54 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,332.54 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $10,232.93 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $537.03