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Maine rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.93 / $392.40 / $490.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.20 / $472.78 / $677.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.22 / $446.22 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.26 / $513.12 / $931.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.82 / $532.15 / $944.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.93 / $392.40 / $509.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.20 / $532.15 / $885.18