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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
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $212.15 / $247.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,336.68 / $8,463.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.10 / $221.20 / $303.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.41 / $251.92 / $353.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.87 / $259.60 / $1,473.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.34 / $287.79 / $1,748.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $2,268.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $251.23 / $380.73