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Maryland rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,787.56 / $4,787.56 / $4,787.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.32 / $493.13 / $703.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.22 / $386.65 / $599.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.00 / $1,441.78 / $1,870.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.54 / $536.42 / $991.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.70 / $655.70 / $971.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.66 / $568.38 / $1,022.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $649.88 / $802.07