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New Hampshire rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,222.90 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.25 / $439.55 / $616.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.47 / $611.41 / $1,024.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.53 / $749.26 / $1,459.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.04 / $819.22 / $1,653.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.11 / $761.47 / $1,440.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.26 / $371.36 / $476.22