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Minnesota 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
$933.25 / $933.25 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,630.78 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $4,677.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $6,760.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $3,801.89