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Montana rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,000.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $616.60 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $758.58 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $954.99