go back

Iowa 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
$1,659.59 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,168.69 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,621.81 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,715.19 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,754.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $2,290.87