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Illinois rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.31 / $1,603.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.38 / $399.58 / $673.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.72 / $4,105.72 / $5,877.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $457.61 / $715.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.22 / $566.46 / $785.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.79 / $441.93 / $770.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.34 / $597.21 / $1,201.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.95 / $331.20 / $573.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $649.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,951.00 / $6,482.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.70 / $509.80 / $873.79