go back

Vermont rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $851.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $537.03