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Salivary Fistula Closure

Georgia 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 $3,020 · 10th–90th $603$7,4130%5%10%10th90th$3,020Professionalmedian $537 · 10th–90th $347$9550%20%10th90th$537$10.0$50.0$200.0$1.0K$5.0K

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
$676.08
Median
$3,630.78
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,949.84
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$1,122.02
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$1,000.00
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,454.71
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$954.99