go back

California rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $676.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,511.89 / $8,912.51
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,584.89 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $724.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $389.05 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $380.19 / $660.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $389.05 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,202.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,244.36 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $316.23 / $602.56