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Minnesota 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
$933.25 / $6,309.57 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,630.78 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,019.95 / $4,677.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,467.37 / $6,760.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $3,890.45