go back

New Hampshire rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $822.48 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $212.15 / $290.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.30 / $286.05 / $424.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.53 / $355.56 / $637.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $381.91 / $730.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.27 / $343.38 / $672.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $193.55 / $259.36