go back

Kansas 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
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.01 / $1,160.96 / $1,802.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.80 / $1,573.88 / $1,573.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.17 / $1,510.91 / $1,807.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.88 / $1,837.06 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.32 / $1,326.36 / $9,006.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.99 / $1,315.22 / $2,349.11