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Oregon rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $426.58 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $281.84 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $549.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $446.68 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $281.84 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,232.93 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $588.84