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Salivary Fistula Closure

Florida 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 $3,467 · 10th–90th $468$12,0230%5%10th90th$3,467Professionalmedian $479 · 10th–90th $324$8320%20%10th90th$479$50.0$200.0$1.0K$5.0K$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
$407.38
Median
$3,090.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$870.96
AvMed
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,467.37
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,380.38
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$933.25
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$12,882.50
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$275.42
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,235.94
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$812.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$562.34