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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
$259.26 / $834.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.71 / $365.43 / $530.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.32 / $263.93 / $409.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.61 / $314.08 / $535.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.56 / $444.54 / $579.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.15 / $390.15 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $396.60 / $664.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.04 / $416.83 / $738.99