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Virginia rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.17 / $1,938.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $228.22 / $335.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.37 / $232.73 / $353.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $195.12 / $392.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.41 / $279.22 / $610.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.74 / $259.64 / $443.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.81 / $278.56 / $411.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.11 / $269.70 / $413.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.88 / $329.00 / $439.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.38 / $209.39 / $384.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.71 / $289.62 / $550.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $2,441.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.17 / $279.95 / $447.89