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Pennsylvania rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $776.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,659.59 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $602.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $794.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $630.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $10,964.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $1,023.29
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $851.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $676.08 / $812.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $309.03 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $524.81