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Alaska rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.86 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $400.53 / $1,990.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.44 / $484.08 / $1,191.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.60 / $1,214.10 / $2,786.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.44 / $1,221.55 / $2,471.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.00 / $1,282.00 / $2,083.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.60 / $1,214.10 / $2,786.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.24 / $1,034.09 / $1,930.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.22 / $957.99 / $2,499.83