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Alaska rates for HCPCS 40720

Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,125.38 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $7,762.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,168.69 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $7,762.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,412.54 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,754.23 / $4,073.80