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Oklahoma 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
$1,150.83 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.09 / $1,052.61 / $1,150.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,723.14 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.90 / $1,292.97 / $1,419.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.38 / $1,447.32 / $1,643.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.83 / $1,601.87 / $9,412.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.20 / $1,153.27 / $9,006.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.30 / $1,135.38 / $1,725.78