go back

Alabama rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,775.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,223.38 / $2,032.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,503.31 / $4,241.04 / $5,705.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.50 / $1,425.00 / $1,681.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.86 / $1,167.41 / $2,148.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.41 / $968.90 / $1,336.34