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Washington rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.86 / $1,246.77 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $499.59 / $1,047.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.42 / $8,552.21 / $16,394.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.19 / $1,054.40 / $3,975.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,302.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.89 / $767.14 / $1,501.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.10 / $796.88 / $2,793.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.61 / $746.96 / $1,580.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $507.16 / $1,318.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.86 / $912.00 / $1,080.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.80 / $904.15 / $1,781.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.19 / $877.07 / $1,366.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,916.52 / $9,118.81 / $17,453.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.70 / $856.00 / $1,224.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.00 / $1,681.00 / $3,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.54 / $871.12 / $1,558.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.99 / $439.22 / $592.87