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Ohio rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.24 / $4,731.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.54 / $842.24 / $1,305.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $3,528.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.15 / $779.51 / $1,334.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.41 / $760.10 / $940.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.38 / $877.31 / $1,036.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $4,048.28 / $5,935.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.98 / $966.48 / $1,547.61
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $4,048.28 / $4,422.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.13 / $987.46 / $1,547.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $766.95 / $1,145.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.01 / $967.69 / $1,671.90