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New York rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,621.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $2,511.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $2,137.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $1,949.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $1,819.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $7,244.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,096.48 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,265.80 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,862.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $2,398.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,949.84