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Washington, DC rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $2,137.96 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $467.74