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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.44 / $1,558.00 / $1,899.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,681.72 / $8,578.90 / $12,057.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.26 / $1,587.63 / $1,901.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.93 / $1,274.30 / $1,942.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.07 / $1,192.15 / $1,878.43