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California 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
$3,090.30 / $7,585.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $6,025.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $3,019.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $5,623.41 / $16,982.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,398.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $2,137.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $16,595.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $8,511.38 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,398.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,089.30