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Washington rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.02 / $1,006.95 / $17,930.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.34 / $417.18 / $983.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.11 / $2,000.00 / $10,980.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.91 / $847.17 / $3,228.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.90 / $714.97 / $947.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.02 / $589.91 / $1,222.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.39 / $574.62 / $1,140.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.58 / $567.10 / $921.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.68 / $484.79 / $999.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.02 / $740.43 / $877.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.11 / $588.45 / $598.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.87 / $674.79 / $1,116.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,916.52 / $9,118.81 / $17,453.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.88 / $694.97 / $994.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.59 / $681.38 / $1,263.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.22 / $356.40 / $484.00