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Texas 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
$977.24 / $3,548.13 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,762.47 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,380.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $933.25 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $1,949.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $9,120.11 / $9,120.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,698.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25