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Alabama rates for HCPCS 40701

Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,265.80 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,365.16 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,513.56