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South Carolina rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $8,317.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,981.07 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $933.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $436.52 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $10,232.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $616.60