go back

Delaware 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
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.65 / $1,186.65 / $1,186.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.36 / $1,392.72 / $1,461.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.81 / $1,242.51 / $2,739.55