go back

North Carolina 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
$1,584.89 / $5,754.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $2,187.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $2,041.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,000.00 / $10,000.00