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South Carolina rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.57 / $829.02 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.41 / $352.32 / $464.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.00 / $5,345.72 / $9,813.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $286.23 / $428.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $615.00 / $1,838.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.49 / $345.80 / $721.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.60 / $347.36 / $584.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.75 / $1,178.00 / $2,016.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $311.75 / $517.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.49 / $360.00 / $709.41