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Nasolabial Fistula Repair

Nevada 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 $3,162 · 10th–90th $708$8,1280%10%10th90th$3,162Professionalmedian $832 · 10th–90th $617$1,2590%20%10th90th$832$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$707.95
Median
$3,162.28
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,380.38
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$794.33
Typical High
$1,202.26
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,258.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$851.14
Select Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,630.27
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,412.54