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California rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $457.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,344.23 / $8,128.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $616.60 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $478.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $177.83 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $331.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $251.19 / $426.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $512.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $776.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $407.38