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Indiana rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.44 / $586.98 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.93 / $496.77 / $688.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,036.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.43 / $403.41 / $626.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.01 / $423.81 / $676.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.15 / $562.52 / $733.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.00 / $604.02 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.22 / $533.90 / $921.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.90 / $538.27 / $909.42