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Abscess Drainage, Submandibular Gland

Virginia 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 $324 · 10th–90th $191$4,7860%5%10%10th90th$324Professionalmedian $257 · 10th–90th $174$4470%10%10th90th$257$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$281.84
Median
$2,570.40
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$457.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$524.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$758.58
Sentara
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$812.83
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$407.38