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Indiana rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,862.09 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $691.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $363.08 / $407.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $602.56 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $724.44