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Mississippi rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.55 / $1,320.00 / $2,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.23 / $437.08 / $1,195.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.32 / $360.32 / $360.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.46 / $490.00 / $490.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.07 / $279.68 / $3,384.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.70 / $402.82 / $687.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,011.00 / $6,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.40 / $472.31 / $1,003.60