go back

Idaho rates for HCPCS 42260

Repair of nasolabial fistula

Facilitymedian $1,445 · 10th–90th $794–$8,7100%5%10th90th$1,445Professionalmedian $955 · 10th–90th $661–$1,8620%10%10th90th$955$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $891.25 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,897.79 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,348.96 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,071.52 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,380.38 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,047.13 / $1,548.82