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Idaho rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.06 / $1,005.16 / $2,516.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.46 / $1,129.25 / $1,474.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.79 / $1,381.97 / $2,516.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.44 / $1,313.26 / $1,673.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,191.92 / $1,499.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $13,168.12 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.58 / $1,363.48 / $1,734.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.22 / $1,190.00 / $1,826.28