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Rhode Island rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $3,650.44 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.88 / $212.15 / $297.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.32 / $267.83 / $326.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.70 / $268.70 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.43 / $316.27 / $499.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,384.00 / $5,033.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.07 / $297.98 / $512.57