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Arkansas rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.12 / $1,301.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.21 / $799.22 / $1,073.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.75 / $948.64 / $1,211.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $693.00 / $3,140.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.46 / $1,029.47 / $1,426.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,485.00 / $3,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.79 / $991.31 / $1,608.20