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New Mexico rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.42 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $454.18 / $758.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.54 / $583.54 / $1,651.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.01 / $582.54 / $871.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $149.83 / $793.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.87 / $495.22 / $702.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.06 / $637.80 / $1,131.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $695.31 / $1,126.83