go back

Salivary Fistula Closure

Washington 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.

Facilitymedian $955 · 10th–90th $479$8,5110%10%10th90th$955Professionalmedian $562 · 10th–90th $347$1,2300%10%20%10th90th$562$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,445.44
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,071.52
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,511.38
Typical High
$17,378.01
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,445.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$724.44
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$234.42
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,071.52
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,862.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$8,912.51
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$9,549.93
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,122.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$776.25