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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.72 / $1,075.72 / $1,075.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.60 / $1,263.19 / $1,509.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.59 / $1,138.75 / $1,633.10