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New Hampshire rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $747.93 / $5,229.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $283.39 / $470.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.94 / $409.77 / $723.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.58 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.58 / $499.49 / $999.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $539.16 / $1,164.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.12 / $583.30 / $1,285.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $231.00 / $331.90