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Utah rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $407.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,071.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $812.83