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New York rates for HCPCS 42340

Sialolithotomy; parotid, extraoral or complicated intraoral

Facilitymedian $3,802 · 10th–90th $562$9,1200%5%10th90th$3,802Professionalmedian $525 · 10th–90th $339$1,2300%5%10%10th90th$525$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $977.24
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $630.96 / $1,445.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $776.25 / $1,174.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $691.83 / $1,122.02
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,467.37 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $776.25 / $2,089.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $1,380.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $645.65 / $1,258.93