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Wisconsin rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $457.09 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $549.54 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $575.44 / $1,479.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $338.84 / $2,238.72
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $346.74 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $758.58 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $281.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $660.69 / $1,202.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,943.28 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $776.25 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,412.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $1,000.00