go back

Nebraska rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.60 / $801.66 / $1,458.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,193.47 / $8,978.79 / $15,757.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.98 / $1,157.27 / $1,629.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.82 / $1,834.65 / $2,653.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.45 / $1,087.80 / $1,867.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.95 / $1,938.57 / $6,428.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.00 / $1,882.80 / $4,831.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.19 / $1,663.43 / $2,231.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,126.09 / $2,248.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.95 / $1,737.44 / $2,191.36