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Arizona rates for HCPCS 40761

Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,513.56