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Minnesota 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
$1,000.00 / $1,000.00 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,890.45 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,235.94 / $5,011.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,244.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,819.70 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,819.70 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $4,168.69