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Washington, DC rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,884.03 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $288.40 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $741.31