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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
$303.51 / $1,055.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $228.22 / $395.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.54 / $2,783.16 / $5,442.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.03 / $263.80 / $392.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.35 / $400.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.74 / $270.63 / $450.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.79 / $334.54 / $735.69
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
$198.21 / $206.79 / $313.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $354.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,435.00 / $4,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.02 / $310.17 / $501.42