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South Carolina rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.67 / $2,154.94 / $14,644.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.22 / $843.77 / $1,117.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,615.13 / $9,761.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $788.20 / $1,077.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,137.56 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.72 / $991.45 / $1,761.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.06 / $1,001.00 / $1,593.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.68 / $1,001.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.35 / $763.34 / $1,254.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.79 / $960.24 / $2,260.02