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North Carolina 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
$1,160.48 / $1,884.61 / $15,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.60 / $1,160.48 / $1,404.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.67 / $1,184.75 / $2,523.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.91 / $1,542.46 / $2,593.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.48 / $1,405.54 / $2,081.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.00 / $1,207.00 / $1,416.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,504.51 / $12,081.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.74 / $1,186.95 / $3,095.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,744.17 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,631.98 / $8,631.98 / $10,142.93