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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,100.22 / $1,100.22 / $1,100.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.00 / $4,340.00 / $5,208.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.51 / $1,335.41 / $2,003.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.01 / $1,887.60 / $3,159.20