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Abscess Drainage, Submandibular Gland

Minnesota 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 $741 · 10th–90th $195$1,9500%5%10%10th90th$741Professionalmedian $447 · 10th–90th $191$9120%5%10%10th90th$447$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
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$954.99
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$1,096.48
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,819.70
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,819.70
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$794.33