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New Mexico 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 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.35 / $1,566.61 / $5,716.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.00 / $1,489.96 / $1,766.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,551.15 / $1,680.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.53 / $1,356.31 / $1,795.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.39 / $1,688.62 / $2,101.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.01 / $1,604.46 / $2,044.90