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Pennsylvania rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.57 / $2,747.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.61 / $423.49 / $651.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.45 / $536.99 / $888.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.00 / $1,865.00 / $3,848.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.93 / $508.85 / $859.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.27 / $776.27 / $776.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.62 / $829.14 / $1,059.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,807.75 / $8,807.75 / $8,807.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $498.65 / $1,706.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.20 / $423.20 / $423.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $541.70 / $1,426.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $1,403.00 / $3,661.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.02 / $508.85 / $856.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.97 / $356.97 / $520.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.97 / $376.64 / $559.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.98 / $547.63 / $969.61