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Arkansas 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
$1,233.39 / $1,904.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,085.06 / $1,370.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,472.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.17 / $1,351.47 / $1,589.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.34 / $1,359.36 / $1,694.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.87 / $1,128.43 / $1,896.44