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Mississippi 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
$900.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.44 / $1,881.53 / $3,333.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.00 / $2,271.00 / $2,271.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.06 / $3,018.06 / $3,018.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.30 / $1,361.61 / $2,227.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.54 / $1,402.44 / $2,862.24