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South Carolina rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.89 / $1,151.92 / $13,335.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $5,354.74 / $9,720.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $655.00 / $3,845.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.33 / $517.79 / $835.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $10,069.00 / $16,249.00