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Hawaii rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.51 / $305.23 / $418.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.58 / $1,244.58 / $1,244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.02 / $403.11 / $994.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.92 / $435.32 / $576.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.66 / $423.54 / $581.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.78 / $512.41 / $656.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.77 / $2,500.00 / $6,063.00