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Colorado 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
$1,525.01 / $5,503.00 / $11,529.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.81 / $1,214.55 / $2,359.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.59 / $1,613.50 / $2,426.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.74 / $1,425.99 / $1,998.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.55 / $1,508.49 / $1,988.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.14 / $1,680.33 / $4,434.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.42 / $1,549.28 / $2,698.37