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Missouri 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
$2,454.71 / $5,623.41 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,011.87 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $977.24 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,691.53 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $2,398.83