go back

Wyoming rates for HCPCS 40720

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.82 / $1,048.82 / $1,048.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,673.00 / $4,135.00 / $4,962.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.78 / $1,406.20 / $2,109.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.60 / $1,789.80 / $3,229.65