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Arizona 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
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $952.77 / $2,502.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $5,094.77 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.07 / $1,206.76 / $1,402.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.26 / $1,049.09 / $1,849.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.05 / $1,178.69 / $7,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.15 / $1,021.02 / $7,552.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,765.22 / $5,596.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.63 / $1,014.22 / $1,317.35