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Montana rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $380.19 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $1,000.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $562.34 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $724.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $407.38 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $524.81 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $691.83