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New Hampshire rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,446.62 / $3,313.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.57 / $843.77 / $1,092.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.59 / $1,152.52 / $1,699.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.40 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.56 / $1,327.89 / $2,334.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.27 / $1,481.21 / $2,689.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.58 / $1,280.33 / $2,689.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.75 / $658.45 / $790.14