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Indiana rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $309.03 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $288.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $165.96 / $190.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $338.84