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Florida 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
$914.39 / $4,696.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.12 / $1,052.61 / $1,467.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.54 / $1,182.92 / $1,816.81
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.73 / $858.58 / $1,293.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $884.00 / $1,326.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.77 / $1,021.84 / $1,790.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.89 / $833.89 / $833.89