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New York 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
$1,358.79 / $4,545.00 / $9,868.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.81 / $1,258.14 / $2,138.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.05 / $1,155.63 / $2,701.96
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.22 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.22 / $1,521.22 / $1,521.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.91 / $1,214.91 / $1,214.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.97 / $1,457.27 / $3,673.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,152.97 / $2,846.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.27 / $1,498.86 / $3,125.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.92 / $1,008.33 / $1,992.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,214.91 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.57 / $1,470.18 / $3,673.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $13,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.54 / $1,260.41 / $2,884.27
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.96 / $1,283.96 / $4,154.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.92 / $1,283.96 / $3,148.61