go back

North Dakota 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
$1,008.62 / $6,311.14 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $942.61 / $1,347.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.06 / $2,125.12 / $2,546.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.81 / $2,378.73 / $3,071.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.62 / $1,224.56 / $1,714.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.90 / $1,816.07 / $9,966.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.93 / $1,583.00 / $2,613.37