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South Carolina rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.96 / $1,268.33 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.51 / $524.11 / $667.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.00 / $3,763.91 / $6,751.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $493.67 / $785.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $604.02 / $1,838.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.92 / $552.16 / $1,051.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.28 / $572.95 / $906.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.00 / $554.00 / $1,569.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $512.72 / $836.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.66 / $578.41 / $1,064.31