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New York rates for HCPCS 40720

Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure

Facilitymedian $5,129 · 10th–90th $1,479–$12,3030%5%10th90th$5,129Professionalmedian $1,175 · 10th–90th $891–$3,1620%10%20%10th90th$1,175$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $5,370.32 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,202.26 / $3,548.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $2,454.71
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,445.44 / $3,715.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,096.48 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,288.25 / $2,344.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $1,905.46
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,230.27 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,202.26 / $3,019.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $3,890.45
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $3,630.78