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Kentucky 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
$851.14 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,479.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,445.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $6,606.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,511.89 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,995.26