go back

Virginia rates for HCPCS 42330

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

Facilitymedian $324 · 10th–90th $182$5,2480%5%10%10th90th$324Professionalmedian $234 · 10th–90th $162$4170%10%10th90th$234$50.0$200.0$1.0K$5.0K$20.0K

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
$257.04 / $1,348.96 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $407.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $162.18 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $501.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $204.17 / $870.96
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,754.23 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $229.09 / $380.19