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Montana rates for HCPCS 42340

Sialolithotomy; parotid, extraoral or complicated intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $1,445.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $741.31 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $933.25