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Illinois rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,862.09 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,073.80 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $363.08 / $831.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,691.53 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $407.38