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Iowa rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Facilitymedian $2,951 · 10th–90th $363–$7,2440%5%10%10th90th$2,951Professionalmedian $389 · 10th–90th $224–$8320%10%20%10th90th$389$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $3,801.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $389.05 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $549.54 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $537.03 / $977.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $575.44 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $676.08 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,000.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,047.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $707.95 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,165.95 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $562.34 / $891.25