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Pennsylvania rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.01 / $3,627.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.91 / $350.10 / $542.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.84 / $434.64 / $434.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.22 / $558.26 / $1,657.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.82 / $396.06 / $687.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.41 / $596.41 / $596.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.67 / $673.91 / $861.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.20 / $6,850.20 / $8,807.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,748.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.49 / $428.52 / $1,387.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.60 / $306.60 / $306.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $376.70 / $1,164.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.69 / $545.00 / $2,019.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.33 / $400.00 / $687.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.77 / $258.89 / $421.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.42 / $295.25 / $453.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.95 / $453.20 / $766.19