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North Carolina 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
$1,047.13 / $3,235.94 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $2,137.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $2,041.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $16,595.87 / $16,595.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $8,511.38