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Minnesota 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 / $229.09 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $870.96 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $549.54 / $1,000.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,659.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $295.12 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $467.74 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $338.84 / $707.95