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Maine rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $758.58 / $1,412.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,122.02