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Texas rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.70 / $2,872.00 / $10,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.80 / $389.92 / $569.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.82 / $429.61 / $1,543.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.85 / $402.91 / $635.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.35 / $233.35 / $413.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.65 / $417.89 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.08 / $439.45 / $713.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,872.72 / $2,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.00 / $3,092.48 / $3,627.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.75 / $407.40 / $676.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.51 / $484.33 / $751.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $376.70 / $1,164.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.75 / $412.41 / $724.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.02 / $479.46 / $869.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $3,239.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.62 / $422.66 / $681.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.40 / $416.64 / $565.46