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New Hampshire rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,398.83 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $549.54 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $1,000.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $537.03 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $977.24
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $467.74 / $575.44