go back

North Carolina rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.22 / $1,101.90 / $8,442.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.22 / $842.24 / $1,132.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.10 / $1,259.08 / $1,961.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,997.51 / $5,654.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.87 / $1,118.63 / $2,042.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.22 / $918.47 / $1,434.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $756.00 / $1,187.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.70 / $906.10 / $1,896.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,208.00 / $9,324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.91 / $958.99 / $2,208.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,616.58 / $4,616.58 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,883.35 / $6,212.32 / $7,242.15