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Illinois rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,439.81 / $4,961.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.81 / $495.21 / $763.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.11 / $4,293.41 / $6,839.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.22 / $608.51 / $919.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $643.00 / $2,713.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.69 / $569.80 / $971.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.47 / $742.00 / $2,336.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.04 / $432.97 / $709.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $802.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,704.51 / $4,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.90 / $637.66 / $1,076.33