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Wyoming rates for HCPCS 40700

Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.35 / $1,032.35 / $1,032.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.00 / $4,066.00 / $4,879.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.38 / $1,375.43 / $2,063.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.01 / $1,783.03 / $3,164.70