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New Mexico rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.72 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.38 / $373.09 / $612.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.86 / $6,181.55 / $45,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $316.38 / $630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.89 / $344.89 / $446.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.87 / $444.17 / $696.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $121.08 / $641.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.91 / $373.09 / $542.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.64 / $505.79 / $918.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.71 / $577.49 / $917.99