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Michigan rates for HCPCS 42320

Drainage of abscess; submaxillary, external

Facilitymedian $2,042 · 10th–90th $331–$4,8980%20%10th90th$2,042Professionalmedian $251 · 10th–90th $170–$3800%10%10th90th$251$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$331.13 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $169.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $269.15 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $549.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $758.58 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $446.68
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $891.25 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $398.11