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Wyoming rates for HCPCS 42330

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $228.23 / $306.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $614.00 / $951.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.06 / $316.27 / $540.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.95 / $436.16 / $926.62