go back

Alaska rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.58 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.79 / $455.59 / $2,183.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.50 / $561.76 / $1,306.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.39 / $1,379.52 / $3,057.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.55 / $1,346.76 / $2,711.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.00 / $1,472.00 / $2,276.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.79 / $1,379.52 / $3,057.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.18 / $1,160.95 / $2,132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.32 / $1,075.99 / $2,788.41