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New York rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.45 / $1,966.76 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $231.35 / $428.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.14 / $220.54 / $519.36
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.74 / $230.74 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.74 / $230.74 / $331.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.22 / $279.22 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.13 / $320.27 / $739.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $250.00 / $431.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.92 / $315.26 / $471.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.42 / $217.42 / $217.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.09 / $250.03 / $436.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.03 / $973.03 / $973.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.22 / $385.16 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $323.16 / $728.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,439.00 / $7,203.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $266.75 / $660.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.74 / $199.74 / $658.73
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.09 / $292.74 / $496.53