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Missouri 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
$1,778.28 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,011.87 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,630.27 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,621.81 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $2,570.40