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Texas rates for HCPCS 42330

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

Facilitymedian $525 · 10th–90th $170$4,6770%5%10%10th90th$525Professionalmedian $234 · 10th–90th $162$3800%20%10th90th$234$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $2,290.87 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $346.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $199.53
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $489.78 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,187.76 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $229.09 / $257.04