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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.93 / $1,630.84 / $3,114.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.98 / $1,489.96 / $1,901.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.45 / $1,630.84 / $3,270.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.13 / $1,901.59 / $2,112.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,687.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.16 / $2,154.79 / $2,183.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.05 / $1,387.35 / $2,138.06