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Kansas 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
$3,131.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.03 / $1,280.42 / $1,988.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.00 / $3,278.47 / $3,451.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.63 / $1,865.45 / $1,865.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.46 / $1,661.29 / $1,998.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.18 / $1,972.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.91 / $1,459.19 / $8,754.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.00 / $4,650.00 / $11,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.50 / $1,446.93 / $2,206.56