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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.07 / $982.07 / $5,716.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $15,538.48 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.44 / $1,602.00 / $2,146.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.16 / $2,413.65 / $3,245.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.07 / $2,252.67 / $9,855.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.33 / $2,259.81 / $9,006.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.00 / $2,493.80 / $5,542.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.13 / $2,201.11 / $2,896.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.33 / $2,264.89 / $2,536.69