go back

New Jersey rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $870.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $10,000.00 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $436.52 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,165.95 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $707.95