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Washington rates for HCPCS 42320

Drainage of abscess; submaxillary, external

Facilitymedian $468 · 10th–90th $245–$6,4570%10%10th90th$468Professionalmedian $282 · 10th–90th $174–$6030%10%20%10th90th$282$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$346.74 / $676.08 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $524.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,479.11 / $2,951.21
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $501.19 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $346.74 / $691.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $363.08 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $117.49
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $524.81
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $354.81 / $389.05
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,513.56 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $1,659.59 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $380.19