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Florida 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
$1,056.00 / $6,024.00 / $14,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.07 / $1,160.48 / $1,646.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.43 / $1,297.88 / $1,986.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.63 / $932.03 / $1,425.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $990.52 / $1,460.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.72 / $1,124.48 / $2,009.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.93 / $919.93 / $919.93