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South Carolina rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.63 / $1,239.00 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.55 / $454.18 / $651.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,790.99 / $6,751.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.84 / $481.06 / $771.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $585.00 / $1,838.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.95 / $538.46 / $1,025.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.41 / $531.00 / $866.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.56 / $534.00 / $1,569.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $484.84 / $819.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $4,579.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.97 / $543.12 / $1,028.93