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Idaho rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,398.83 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $302.00 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $446.68