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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
$800.00 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.66 / $245.20 / $395.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.18 / $184.18 / $184.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.38 / $218.38 / $304.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $1,260.00 / $1,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.49 / $270.00 / $412.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.38 / $262.52 / $550.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.52 / $355.79 / $1,748.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.58 / $275.01 / $467.19