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Maryland rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $933.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,318.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $707.95 / $831.76