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South Carolina rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $9,120.11 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,248.07 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,148.15 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $2,089.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,318.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $10,232.93 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,479.11