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Minnesota 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
$1,122.02 / $1,122.02 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,258.93 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,548.13 / $5,495.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $7,943.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,884.03 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $4,570.88