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Louisiana rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,151.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.26 / $938.34 / $1,284.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,488.07 / $6,546.00 / $11,151.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.55 / $1,132.45 / $1,401.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $574.83 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,010.00 / $4,042.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.16 / $982.07 / $1,631.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.33 / $1,004.95 / $1,683.80