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Minnesota rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $812.83 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,621.81 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $933.25 / $1,819.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $3,090.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $512.86 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $812.83 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,548.13 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $562.34 / $1,230.27