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Montana rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.06 / $344.16 / $1,359.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.11 / $420.11 / $420.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.79 / $425.74 / $897.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.14 / $416.05 / $691.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.35 / $628.61 / $1,107.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.84 / $669.89 / $1,210.81