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Alaska rates for HCPCS 40700

Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $16,595.87 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $29,512.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,073.80 / $5,623.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $7,585.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,380.38 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,691.53 / $3,981.07