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Salivary Fistula Closure

Michigan rates for HCPCS 42600

Surgically closes a salivary fistula, an abnormal opening that allows saliva to leak from a salivary gland or its duct through the skin or into the mouth. Closing the fistula stops the leakage and its associated irritation.

Facilitymedian $2,042 · 10th–90th $692$4,8980%20%10th90th$2,042Professionalmedian $513 · 10th–90th $347$8130%10%10th90th$513$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$1,148.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,445.44
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$933.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$794.33