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Oregon 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
$2,137.96 / $2,754.23 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $2,754.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,041.74 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,621.81 / $2,630.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,949.84 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,620.87 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,290.87 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $17,782.79 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $2,951.21