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Texas rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.00 / $2,124.00 / $6,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.92 / $506.48 / $718.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.47 / $3,928.93 / $7,696.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.99 / $505.63 / $704.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.70 / $311.70 / $521.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.00 / $1,813.99 / $2,355.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.15 / $567.59 / $927.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.30 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.00 / $3,913.20 / $4,579.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $541.79 / $984.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.25 / $652.79 / $950.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $586.90 / $1,458.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $546.66 / $1,047.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $609.49 / $1,134.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $2,045.00 / $4,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.56 / $538.54 / $859.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.54 / $526.71 / $714.47