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Tennessee 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
$1,500.00 / $4,069.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.50 / $1,202.00 / $1,610.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,467.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.31 / $1,125.48 / $1,871.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.74 / $1,226.29 / $2,189.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,572.79 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,614.87 / $9,966.91 / $9,966.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $5,728.00 / $10,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.39 / $1,108.67 / $2,193.98