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South Carolina rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $831.76 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,096.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $977.24