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South Carolina rates for HCPCS 42330

Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $281.84 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $331.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $263.03 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $389.05