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Maryland 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
$7,052.58 / $7,052.58 / $7,052.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,164.48 / $1,209.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.09 / $1,112.42 / $1,279.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.90 / $1,153.79 / $1,853.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.11 / $1,246.04 / $2,265.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,236.00 / $1,236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.04 / $1,085.49 / $1,958.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.83 / $1,132.76 / $1,238.38