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Nebraska rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.91 / $395.72 / $731.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,531.27 / $9,468.52 / $16,616.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.30 / $497.93 / $821.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.16 / $803.10 / $1,245.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.57 / $439.04 / $813.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.41 / $940.29 / $3,228.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.02 / $803.10 / $1,122.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.02 / $750.20 / $1,082.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $570.29 / $1,164.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.07 / $884.87 / $1,062.91