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Rhode Island rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,630.78 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $331.13 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $436.52