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Alaska rates for HCPCS 40702

Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $4,073.80 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $7,585.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,380.38 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,630.27 / $3,981.07