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Pennsylvania rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.09 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.98 / $444.08 / $667.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.42 / $551.08 / $551.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $1,113.00 / $3,848.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.90 / $521.41 / $888.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.87 / $802.87 / $802.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.16 / $850.62 / $1,086.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,527.99 / $29,527.99 / $29,527.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.58 / $524.05 / $1,837.37
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.70 / $478.70 / $478.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $586.90 / $1,458.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $795.00 / $3,661.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.95 / $521.41 / $878.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.81 / $381.87 / $533.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.81 / $460.84 / $572.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.66 / $580.14 / $939.75