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Pennsylvania rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,073.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $1,023.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $489.78 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $691.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $870.96
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $691.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $8,709.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,715.35 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $1,096.48
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $323.59 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $758.58 / $912.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $416.87 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $588.84