go back

Maine rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $489.78