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Salivary Fistula Closure

Washington, DC rates for HCPCS 42600

Surgically closes a salivary fistula, an abnormal opening that allows saliva to leak from a salivary gland or its duct through the skin or into the mouth. Closing the fistula stops the leakage and its associated irritation.

Facilitymedian $2,754 · 10th–90th $661$7,7620%10%20%10th90th$2,754Professionalmedian $513 · 10th–90th $347$9330%10%10th90th$513$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,754.23
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$933.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$1,047.13