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Missouri 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
$1,698.24 / $3,715.35 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,011.87 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,621.81 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $2,398.83