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North Dakota 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
$1,083.33 / $1,083.33 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.18 / $1,005.18 / $1,802.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.23 / $2,268.23 / $2,719.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.63 / $2,530.67 / $3,268.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.33 / $1,337.84 / $1,841.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.38 / $1,820.99 / $9,006.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.75 / $1,745.59 / $2,804.70