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North Dakota 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 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $269.15 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $398.11 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,398.83 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $457.09