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Oklahoma 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
$1,392.00 / $5,405.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.54 / $981.83 / $1,072.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,723.14 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $1,203.68 / $1,321.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.99 / $1,283.74 / $1,556.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.23 / $1,480.05 / $9,412.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.55 / $1,061.75 / $9,966.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $1,051.61 / $1,603.45