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North Carolina rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.51 / $712.48 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.51 / $500.44 / $688.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.07 / $1,123.17 / $1,905.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.62 / $810.01 / $1,246.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.41 / $1,359.55 / $2,702.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.57 / $613.90 / $1,151.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.51 / $535.70 / $858.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $415.00 / $705.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.70 / $575.90 / $1,155.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.82 / $584.24 / $1,346.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.30 / $2,469.30 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.00 / $3,913.20 / $4,579.80