go back

Montana rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.29 / $500.44 / $2,724.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.91 / $568.91 / $568.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.75 / $568.91 / $1,128.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.41 / $556.64 / $900.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.13 / $807.23 / $1,396.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.79 / $806.78 / $1,051.66