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West Virginia 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
$1,013.99 / $1,013.99 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,013.99 / $1,209.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.40 / $1,206.48 / $1,314.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.43 / $1,168.43 / $1,168.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.88 / $1,156.88 / $1,156.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.81 / $1,346.57 / $2,793.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.02 / $1,231.69 / $1,906.64