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Oklahoma 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
$1,392.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.82 / $1,160.48 / $1,268.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,723.14 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.59 / $1,425.15 / $1,564.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.13 / $1,486.40 / $1,727.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $1,712.18 / $9,412.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.02 / $1,249.42 / $8,754.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.54 / $1,206.58 / $1,899.12