go back

New Mexico 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
$1,070.03 / $5,832.94 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,070.03 / $3,722.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,352.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.77 / $1,328.79 / $1,645.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,448.86 / $1,569.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.31 / $1,230.52 / $1,697.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.07 / $1,518.62 / $1,962.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.35 / $1,432.27 / $1,899.95