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Virginia rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.90 / $4,196.00 / $9,347.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.49 / $819.94 / $1,034.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.85 / $891.85 / $1,329.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.93 / $722.99 / $1,453.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.00 / $1,137.56 / $3,282.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.84 / $962.82 / $1,633.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.36 / $999.29 / $1,421.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.28 / $1,005.17 / $1,504.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.00 / $1,184.00 / $1,610.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.28 / $858.27 / $1,545.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.80 / $1,041.83 / $1,974.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.11 / $986.10 / $1,624.13