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Washington, DC 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
$1,268.44 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.39 / $1,268.44 / $1,268.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.83 / $1,168.50 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.22 / $1,096.75 / $2,796.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.79 / $2,458.16 / $2,458.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.05 / $1,102.42 / $2,988.21