search again

Nationwide rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.16 / $4,833.00 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.82 / $1,245.18 / $1,988.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.33 / $1,403.40 / $2,426.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.77 / $2,962.98 / $3,496.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.33 / $1,510.35 / $2,479.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,238.50 / $12,460.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.58 / $1,447.26 / $2,647.84