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Oklahoma rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $257.04 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,089.30 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $309.03