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Tennessee 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
$967.27 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.27 / $1,309.84 / $1,501.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.41 / $1,168.78 / $2,043.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.48 / $1,340.64 / $2,346.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,021.42 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,006.77 / $9,006.77 / $9,195.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $5,728.00 / $10,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.43 / $1,214.85 / $2,293.17