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Missouri rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.14 / $2,507.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.34 / $220.74 / $500.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $242.00 / $379.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.11 / $262.24 / $461.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $263.37 / $591.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.09 / $456.81 / $1,748.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,269.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.30 / $309.97 / $520.42