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Connecticut rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $371.54 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $371.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $616.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $575.44