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North Carolina rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.35 / $787.00 / $11,759.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $227.15 / $361.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.44 / $340.43 / $587.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.03 / $279.22 / $575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.56 / $296.37 / $524.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.18 / $273.68 / $395.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.69 / $281.72 / $578.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.40 / $240.70 / $538.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,258.00 / $4,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.08 / $262.62 / $557.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,143.96 / $1,143.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.44 / $1,688.96 / $1,968.90