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Virginia rates for HCPCS 42260

Repair of nasolabial fistula

Facilitymedian $1,175 · 10th–90th $724$8,3180%5%10%10th90th$1,175Professionalmedian $871 · 10th–90th $646$1,4450%10%10th90th$871$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $4,466.84 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,951.21 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $912.01 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,000.00 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,122.02 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,000.00 / $1,548.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,698.24
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $831.76 / $2,884.03
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,023.29 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $891.25 / $1,445.44