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South Carolina rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.62 / $992.12 / $11,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.40 / $367.63 / $530.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.58 / $4,097.39 / $6,811.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $336.10 / $532.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $383.77 / $585.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.24 / $422.40 / $830.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.85 / $413.77 / $687.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $327.73 / $1,010.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $377.22 / $604.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.76 / $433.64 / $821.59