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Ohio rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.18 / $3,999.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.29 / $394.97 / $625.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,114.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.47 / $322.67 / $551.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.00 / $298.80 / $369.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.25 / $431.44 / $509.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.97 / $446.22 / $700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.36 / $411.83 / $714.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.97 / $441.27 / $592.35
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.98 / $433.21 / $717.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.50 / $377.45 / $572.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.95 / $450.24 / $789.36