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Maryland rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $158.49 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $363.08