go back

Michigan 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
$1,348.96 / $4,897.79 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,445.44 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $4,168.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,897.79 / $12,882.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,698.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,584.89