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Maryland rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $316.23 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,071.52 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $676.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $660.69