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Montana rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $1,122.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $630.96 / $776.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $457.09 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $575.44 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $512.86 / $758.58