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Ohio 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
$1,499.48 / $7,881.00 / $11,754.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $1,021.35 / $2,750.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.00 / $3,232.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.92 / $1,054.31 / $1,981.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.79 / $1,544.99 / $1,817.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.63 / $1,066.33 / $1,890.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.39 / $1,264.77 / $2,010.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.01 / $1,326.20 / $2,010.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.26 / $934.89 / $1,400.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.17 / $5,661.00 / $9,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.24 / $1,123.75 / $2,153.10