go back

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
$163.68 / $233.70 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $212.15 / $283.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.08 / $448.10 / $592.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.27 / $410.98 / $674.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.68 / $266.00 / $503.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.71 / $440.09 / $1,748.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $1,084.00 / $2,313.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.11 / $409.99 / $610.15