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Salivary Fistula Closure

Vermont rates for HCPCS 42600

Surgically closes a salivary fistula, an abnormal opening that allows saliva to leak from a salivary gland or its duct through the skin or into the mouth. Closing the fistula stops the leakage and its associated irritation.

Rates data updated July 2026.

How much does Salivary Fistula Closure cost?

$490

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $389 to $537.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $490 · 10th to 90th $372 to $603
$500.0$1.0K$2.0K$5.0K$10.0Kprofessional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$812.83
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,122.02

Where Vermont sits

The same service costs 2.2 times more in Minnesota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $490 · 45th of 51
MN $1,000MD $447

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.