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Virginia rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.81 / $3,988.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $329.29 / $496.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.31 / $367.25 / $579.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.75 / $253.38 / $515.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $925.00 / $1,568.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.05 / $375.98 / $667.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.14 / $466.43 / $596.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $392.22 / $638.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.64 / $473.00 / $702.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.82 / $287.51 / $532.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.98 / $439.14 / $863.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,978.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.72 / $408.79 / $670.79