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North Dakota 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
$1,192.92 / $1,192.92 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.81 / $1,110.15 / $1,245.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.04 / $2,505.38 / $2,999.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.06 / $2,795.35 / $3,609.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.92 / $1,456.80 / $2,027.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.42 / $2,149.69 / $8,754.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.28 / $1,866.26 / $3,089.17