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Texas rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,290.87 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $346.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $263.03 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $199.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $457.09 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $257.04 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $257.04