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Missouri rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.23 / $401.21 / $812.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $379.61 / $636.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.24 / $422.84 / $782.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.69 / $453.32 / $1,742.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.18 / $781.25 / $3,228.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.44 / $543.39 / $957.73