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Tennessee rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,678.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.60 / $858.88 / $1,332.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.00 / $5,269.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.38 / $1,017.53 / $1,647.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,813.00 / $4,038.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.60 / $961.42 / $1,522.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,616.58 / $4,616.58 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,883.35 / $6,212.32 / $7,242.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,351.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.49 / $1,056.48 / $1,794.16