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Arkansas rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,230.27 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $512.86 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,819.70 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $616.60