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Missouri rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.84 / $2,507.00 / $7,629.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.58 / $507.58 / $667.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.00 / $501.04 / $817.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.37 / $553.07 / $990.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.56 / $600.82 / $1,460.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.26 / $1,003.80 / $4,072.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.25 / $716.53 / $1,323.43