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South Carolina rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.97 / $472.42 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.87 / $168.12 / $212.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $650.00 / $1,285.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $155.83 / $235.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.81 / $375.00 / $440.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $201.88 / $375.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.03 / $196.01 / $324.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $368.99 / $431.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.67 / $166.17 / $257.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,138.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.61 / $193.87 / $355.37