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Nebraska rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,548.13 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $380.19 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $512.86 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $512.86 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $436.52 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $263.03 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $549.54