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Indiana rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $3,162.28 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $467.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $302.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $446.68 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,888.44 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $562.34