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Virginia 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
$1,748.64 / $6,827.70 / $15,742.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,137.08 / $1,505.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.22 / $1,190.40 / $1,632.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.30 / $1,094.59 / $7,369.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.90 / $1,137.90 / $1,137.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.31 / $1,167.83 / $2,003.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.90 / $1,171.33 / $1,394.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.53 / $1,189.74 / $1,700.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,381.00 / $2,232.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.64 / $1,260.75 / $9,040.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.64 / $1,260.75 / $9,040.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.47 / $1,046.76 / $1,825.93