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Minnesota rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.14 / $534.75 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.14 / $500.44 / $924.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.60 / $5,337.83 / $11,441.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.16 / $1,208.49 / $1,936.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.91 / $1,944.54 / $4,677.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.17 / $1,327.43 / $2,314.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.69 / $1,714.45 / $3,683.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.15 / $1,206.04 / $2,110.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.82 / $743.76 / $1,556.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.41 / $1,293.27 / $4,072.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.83 / $1,039.71 / $2,029.70