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Washington, DC rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.96 / $2,682.00 / $4,463.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $196.38 / $284.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $195.12 / $1,686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.04 / $250.52 / $626.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.90 / $260.95 / $549.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $2,416.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.52 / $242.69 / $668.43