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Nasolabial Fistula Repair

Wyoming rates for HCPCS 42260

Surgically closes a nasolabial fistula -- an abnormal opening connecting the nose and the mouth near the upper lip. This is most often needed as a later repair following an earlier cleft lip or palate procedure.

Rates data updated July 2026.

Facilitymedian $10,471 · 10th–90th $2,630$12,0230%20%40%10th90th$10,471Professionalmedian $912 · 10th–90th $631$3,2360%10%20%10th90th$912$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,471.29
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$2,570.40