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Rhode Island rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.17 / $493.78 / $618.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.86 / $584.91 / $731.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.00 / $443.00 / $2,591.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.14 / $670.43 / $1,123.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.96 / $654.90 / $1,126.58