go back

Arkansas rates for HCPCS 42330

Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $512.86 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $371.54