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Missouri rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.16 / $4,498.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.41 / $799.22 / $1,455.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.10 / $891.61 / $1,367.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.00 / $3,125.00 / $3,125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.46 / $980.59 / $1,674.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.42 / $1,058.64 / $2,557.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.22 / $1,644.63 / $6,428.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,959.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.22 / $1,154.30 / $1,907.82