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Nevada 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
$2,150.00 / $4,793.00 / $7,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.81 / $1,258.47 / $3,434.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.91 / $1,387.54 / $1,758.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.49 / $3,069.49 / $3,069.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.10 / $1,321.39 / $2,006.46
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $1,257.84 / $3,475.29
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $1,149.59 / $4,739.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.11 / $1,249.42 / $2,181.08