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Maine rates for HCPCS 42340

Sialolithotomy; parotid, extraoral or complicated intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $724.44 / $1,380.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,071.52