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Nasolabial Fistula Repair

Connecticut 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 $7,762 · 10th–90th $4,365$13,1830%10%10th90th$7,762Professionalmedian $912 · 10th–90th $646$1,9050%10%10th90th$912$50.0$200.0$1.0K$5.0K

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
$3,890.45
Median
$7,079.46
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$14,125.38
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,445.44
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$5,888.44
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$2,137.96
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$7,079.46
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,122.02
Typical High
$2,398.83