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Idaho 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
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,525.36 / $2,905.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.38 / $1,388.41 / $1,764.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.02 / $1,525.36 / $3,051.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.64 / $1,733.16 / $1,978.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,580.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.14 / $2,018.83 / $2,040.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.65 / $1,286.11 / $1,867.17