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Oklahoma rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.49 / $790.15 / $952.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.13 / $907.25 / $1,252.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.06 / $992.21 / $3,461.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.27 / $1,066.35 / $6,428.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.91 / $932.80 / $1,390.95