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Wyoming rates for HCPCS 40702

Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,073.80 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,737.80 / $2,951.21