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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
$2,440.00 / $6,284.00 / $12,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.53 / $1,054.09 / $3,722.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,643.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.55 / $1,174.63 / $1,776.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.86 / $1,245.23 / $2,116.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.95 / $2,203.27 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.68 / $1,480.63 / $9,966.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,039.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.67 / $1,318.04 / $2,351.75