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Nasolabial Fistula Repair

Alabama rates for HCPCS 42260

Surgically closes a nasolabial fistula -- an abnormal opening connecting the nose and the mouth near the upper lip. This is most often needed as a later repair following an earlier cleft lip or palate procedure.

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $955$6,9180%5%10%10th90th$3,311Professionalmedian $851 · 10th–90th $617$1,6980%10%10th90th$851$500.0$1.0K$2.0K$5.0K$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
$794.33
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,754.40
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,951.21
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,348.96