go back

Rhode Island rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.62 / $384.33 / $476.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.16 / $434.02 / $579.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.02 / $541.02 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.89 / $529.02 / $888.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $541.50 / $895.07