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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
$1,052.61 / $1,536.37 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.45 / $1,052.61 / $1,273.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.69 / $1,146.53 / $2,335.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.56 / $1,438.77 / $2,478.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.11 / $1,324.00 / $1,784.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $606.00 / $1,343.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.06 / $1,078.60 / $2,372.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,021.42 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,006.77 / $9,006.77 / $9,195.15