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Georgia rates for HCPCS 42320

Drainage of abscess; submaxillary, external

Facilitymedian $2,630 · 10th–90th $427–$7,4130%10%10th90th$2,630Professionalmedian $263 · 10th–90th $174–$4900%20%10th90th$263$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,737.80 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $549.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $380.19 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $501.19 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $1,174.90 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $478.63