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Washington, DC rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.26 / $790.15 / $1,034.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.75 / $722.99 / $3,594.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.55 / $955.47 / $2,280.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.12 / $951.70 / $2,003.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.14 / $1,054.76 / $2,435.69