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New Mexico rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.88 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $227.59 / $331.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,508.42 / $6,181.55 / $10,081.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.83 / $199.71 / $343.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.29 / $171.29 / $279.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.35 / $278.44 / $408.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $66.02 / $351.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.66 / $228.28 / $318.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.54 / $311.45 / $500.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.27 / $334.08 / $494.93