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Idaho rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.56 / $517.12 / $1,559.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.61 / $593.13 / $885.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.45 / $759.37 / $1,559.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $678.62 / $1,029.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $731.06 / $919.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,662.74 / $7,239.58 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.54 / $727.60 / $1,074.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $675.00 / $1,040.74