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Missouri rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,150.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.52 / $325.23 / $449.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $300.80 / $521.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.00 / $4,939.00 / $4,939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.99 / $361.60 / $653.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.84 / $387.70 / $1,551.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.42 / $663.40 / $2,803.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,959.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.35 / $463.81 / $833.94