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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
$880.00 / $3,219.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.09 / $1,101.76 / $1,538.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,324.30 / $14,454.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.88 / $1,220.66 / $1,373.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.08 / $940.08 / $957.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.15 / $1,344.33 / $1,951.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,006.77 / $9,006.77 / $9,195.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.18 / $1,233.15 / $1,817.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.44 / $1,690.30 / $2,112.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.18 / $1,256.50 / $1,949.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.15 / $1,400.83 / $2,178.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.54 / $1,135.38 / $1,726.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.64 / $1,025.48 / $1,422.48