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Maine rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $416.87 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $870.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $501.19 / $1,023.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $794.33