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Utah rates for HCPCS 42260

Repair Nasolabial Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.97 / $3,977.00 / $7,620.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.83 / $896.97 / $2,516.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.64 / $1,003.43 / $1,603.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $610.90 / $811.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.82 / $1,272.82 / $1,599.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.80 / $999.60 / $1,713.60