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Missouri 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
$2,440.00 / $5,691.00 / $12,456.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $1,074.15 / $3,784.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,643.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.57 / $1,208.25 / $1,856.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.60 / $1,317.50 / $2,236.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.28 / $2,244.84 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $1,583.50 / $7,552.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.05 / $2,680.00 / $9,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $1,439.55 / $2,261.65