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Missouri rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $367.56 / $603.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $340.11 / $583.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.47 / $383.93 / $708.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.25 / $410.29 / $1,654.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.96 / $702.98 / $2,945.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.80 / $503.92 / $838.34