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New Jersey 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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,754.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $1,548.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,054.61 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $2,344.23