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New Hampshire rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $932.13 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.62 / $389.92 / $542.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.51 / $484.59 / $832.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.44 / $586.24 / $1,144.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.87 / $630.13 / $1,341.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.71 / $648.88 / $1,174.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.48 / $324.31 / $454.03