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North Carolina rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.75 / $1,338.00 / $6,735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.40 / $417.18 / $650.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.27 / $610.29 / $949.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.30 / $493.36 / $587.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.93 / $474.72 / $888.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.40 / $417.24 / $656.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.56 / $400.00 / $1,010.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.60 / $368.20 / $920.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,208.00 / $9,324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.38 / $437.67 / $1,000.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.40 / $1,832.40 / $2,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.00 / $3,092.48 / $3,627.75