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North Carolina 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
$1,047.13 / $4,073.80 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $2,344.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $2,290.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $9,120.11