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Michigan rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.43 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.52 / $359.93 / $542.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.33 / $482.48 / $646.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $420.91 / $668.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.27 / $401.52 / $840.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.71 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.43 / $411.30 / $631.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $349.37 / $534.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,819.00 / $7,355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $500.20 / $666.93