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North Dakota 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 / $1,000.00 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,621.81 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,548.82 / $2,454.71