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South Carolina rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $220.72 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $73.12 / $106.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.75 / $1,883.51 / $3,049.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $68.23 / $107.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.75 / $71.92 / $560.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $93.23 / $170.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $94.16 / $146.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $64.15 / $196.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $75.30 / $117.32
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
$67.53 / $91.39 / $176.74