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Arizona rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.04 / $367.63 / $625.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.20 / $377.45 / $547.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.53 / $327.33 / $536.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.51 / $387.75 / $707.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.87 / $407.95 / $849.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.48 / $479.35 / $3,228.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,311.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.45 / $415.80 / $764.37