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Indiana rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.70 / $931.85 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.22 / $833.10 / $1,092.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $8,512.00 / $16,305.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.04 / $674.33 / $1,000.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.41 / $793.55 / $1,067.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.54 / $931.85 / $1,164.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $1,137.56 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.46 / $896.01 / $1,570.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.91 / $908.89 / $1,635.07