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Kansas rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,073.80 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $263.03 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $354.81