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Maine rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.13 / $454.18 / $601.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.94 / $586.52 / $865.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.54 / $583.54 / $611.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.88 / $653.17 / $1,164.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.40 / $655.81 / $1,164.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.03 / $486.20 / $629.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.86 / $653.75 / $1,087.26