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Texas 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
$977.24 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,388.44 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,258.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $870.96 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $1,778.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $16,595.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $8,511.38 / $8,511.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,445.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96