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Montana rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Facilitymedian $661 · 10th–90th $457–$1,0720%20%10th90th$661Professionalmedian $537 · 10th–90th $339–$1,0230%20%10th90th$537$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
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $524.81 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $977.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $741.31 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $676.08 / $1,000.00