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Maryland rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,872.23 / $2,872.23 / $2,872.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.54 / $851.36 / $2,136.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.75 / $722.99 / $1,142.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $3,018.07 / $3,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.60 / $921.64 / $1,730.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.61 / $1,046.86 / $1,522.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $964.00 / $2,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.94 / $918.06 / $1,628.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.13 / $1,027.96 / $1,270.25