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Maine rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.60 / $516.66 / $617.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.82 / $600.53 / $886.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $456.00 / $604.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.28 / $660.19 / $1,147.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.24 / $672.71 / $1,193.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.60 / $516.66 / $862.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.19 / $690.40 / $1,113.17