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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
$1,000.00 / $1,071.52 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $2,630.27