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California 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
$3,090.30 / $7,585.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $3,467.37
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,168.69 / $10,715.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $2,630.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $1,479.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $2,290.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $9,120.11 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,630.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $2,238.72