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Iowa 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
$1,659.59 / $6,606.93 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $4,168.69 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,715.19 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,818.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $2,290.87