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Illinois 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
$1,023.29 / $2,570.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,912.51 / $19,054.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $1,949.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $5,495.41
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $2,137.96