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Utah rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.62 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.98 / $524.05 / $1,597.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.85 / $569.76 / $914.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $408.12 / $543.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.51 / $718.43 / $916.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.54 / $568.23 / $961.63