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Oklahoma rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.57 / $3,683.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.49 / $366.86 / $457.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,336.68 / $8,463.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.35 / $336.90 / $551.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.11 / $401.97 / $580.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.27 / $453.56 / $2,136.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.93 / $489.07 / $3,228.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.46 / $429.00 / $668.18