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Missouri rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.28 / $3,697.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.13 / $493.82 / $663.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.02 / $500.01 / $815.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.95 / $533.04 / $996.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.03 / $579.41 / $1,742.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.19 / $1,021.00 / $4,039.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.00 / $2,659.79 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.07 / $701.51 / $1,374.24