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Hawaii rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $4,456.00 / $5,299.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.06 / $341.22 / $457.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.20 / $445.90 / $977.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.24 / $487.21 / $637.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.56 / $462.95 / $635.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.62 / $566.45 / $718.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $360.95 / $4,597.00