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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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.27 / $1,027.09 / $1,795.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.23 / $1,266.97 / $1,472.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.81 / $1,102.93 / $1,947.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.18 / $1,237.78 / $7,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.80 / $1,069.64 / $9,006.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $13,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.25 / $1,047.55 / $1,415.71