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Wisconsin rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $549.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $645.65 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $676.08 / $1,659.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $426.58 / $3,630.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $436.52 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $912.01 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $1,412.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $891.25 / $3,090.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $1,202.26