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Alabama rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,399.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.69 / $1,979.82 / $1,979.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,494.74 / $4,241.04 / $5,705.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.40 / $1,132.00 / $1,335.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.60 / $1,076.40 / $2,090.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.30 / $943.56 / $1,103.82