go back

South Carolina rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $10,964.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,248.07 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $794.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $416.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $354.81 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $10,232.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $512.86