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West Virginia rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.49 / $411.83 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.53 / $324.22 / $509.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.35 / $278.27 / $333.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.79 / $296.75 / $434.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.22 / $446.22 / $446.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.70 / $428.40 / $980.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.98 / $419.43 / $773.97