go back

Michigan rates for HCPCS 42340

Sialolithotomy; parotid, extraoral or complicated intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.55 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $439.55 / $671.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.31 / $2,172.38 / $2,912.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.48 / $417.90 / $838.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.04 / $511.91 / $1,076.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.80 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.38 / $484.28 / $703.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $456.57 / $708.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,569.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.67 / $616.01 / $829.86