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Abscess Drainage, Submandibular Gland

Illinois rates for HCPCS 42320

Surgical drainage of a pocket of infection (an abscess) that has formed near the submandibular salivary gland, under the jaw. The surgeon reaches the abscess through a small incision in the neck skin rather than from inside the mouth, letting the pus drain and relieving pain and swelling.

Facilitymedian $1,380 · 10th–90th $324$5,6230%5%10th90th$1,380Professionalmedian $263 · 10th–90th $174$4570%10%10th90th$263$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
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,862.09
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$1,071.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$724.44
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$457.09