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Georgia rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.67 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.22 / $850.67 / $1,601.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $2,777.76 / $7,513.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.30 / $1,187.46 / $1,970.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.01 / $1,243.01 / $1,243.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.82 / $615.82 / $615.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $884.00 / $3,685.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.02 / $1,087.91 / $1,846.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.16 / $992.82 / $1,598.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,574.20 / $2,248.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.00 / $3,895.00 / $6,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.22 / $1,115.21 / $1,874.04