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Wisconsin rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.11 / $483.05 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $228.23 / $647.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,193.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.00 / $465.77 / $1,270.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.08 / $733.96 / $1,125.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.35 / $471.10 / $977.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.18 / $236.75 / $440.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.13 / $252.67 / $2,922.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.45 / $776.56 / $1,748.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $326.33 / $518.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.88 / $236.16 / $440.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.30 / $541.30 / $798.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.22 / $1,173.72 / $2,922.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $999.50 / $1,748.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.41 / $838.77 / $1,192.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,827.00 / $6,438.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.94 / $466.58 / $1,012.79