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Virginia rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.72 / $4,771.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.93 / $465.47 / $678.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.52 / $516.63 / $812.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.16 / $377.54 / $783.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $925.00 / $1,568.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.24 / $520.34 / $952.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $635.29 / $802.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.75 / $576.72 / $904.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $655.00 / $973.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.86 / $423.96 / $811.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.07 / $609.69 / $1,249.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.30 / $571.94 / $970.48