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Washington, DC rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.04 / $2,464.00 / $4,975.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.62 / $389.92 / $651.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.82 / $286.26 / $1,686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $434.03 / $1,155.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.37 / $482.49 / $1,023.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.62 / $415.41 / $1,182.39