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Nasolabial Fistula Repair

Minnesota rates for HCPCS 42260

Surgically closes a nasolabial fistula -- an abnormal opening connecting the nose and the mouth near the upper lip. This is most often needed as a later repair following an earlier cleft lip or palate procedure.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $794$14,4540%5%10th90th$2,884Professionalmedian $1,698 · 10th–90th $794$3,0900%5%10%10th90th$1,698$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
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$11,481.54
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$3,630.78
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$6,606.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,698.24
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,011.87
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$2,691.53