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Georgia 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
$1,685.93 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.01 / $1,239.32 / $2,249.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.63 / $3,839.45 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.48 / $1,638.56 / $2,652.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.92 / $1,393.07 / $2,783.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.80 / $1,320.12 / $2,907.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $8,182.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.64 / $1,433.47 / $2,844.60