go back

Kansas rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.50 / $444.16 / $731.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.56 / $376.56 / $376.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.14 / $342.14 / $507.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $1,260.00 / $1,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.95 / $430.20 / $713.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.50 / $453.32 / $2,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.57 / $592.70 / $3,228.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.00 / $2,902.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.22 / $473.27 / $853.94