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Utah rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.76 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.07 / $469.54 / $1,001.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.17 / $549.76 / $892.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $396.13 / $549.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.31 / $701.46 / $887.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $525.03 / $902.45