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South Carolina rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,548.13 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $707.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $831.76