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Arizona 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
$2,187.76 / $5,623.41 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,380.38