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South Carolina rates for HCPCS 42510

Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,698.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,023.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
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 / $16,595.87 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,202.26