go back

New Hampshire rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,398.83 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $457.09 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $870.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $457.09 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $436.52 / $831.76
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $426.58 / $501.19