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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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $245.36 / $681.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.35 / $287.66 / $404.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.57 / $363.34 / $681.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.93 / $324.76 / $454.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $323.73 / $407.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,662.74 / $7,239.58 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.07 / $336.47 / $471.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.93 / $331.49 / $519.87