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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
$1,400.00 / $4,908.00 / $9,304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.67 / $1,138.23 / $2,037.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,643.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.86 / $1,280.80 / $2,009.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.83 / $1,344.16 / $2,361.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.26 / $2,285.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.84 / $1,642.78 / $9,006.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,039.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.07 / $1,437.49 / $2,419.40