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New York rates for HCPCS 40500

Vermilionectomy (lip shave), with mucosal advancement

Facilitymedian $3,890 · 10th–90th $617$9,1200%5%10th90th$3,890Professionalmedian $525 · 10th–90th $363$1,2590%10%10th90th$525$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,090.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $1,202.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $645.65 / $1,513.56
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $741.31 / $1,174.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $630.96 / $977.24
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,467.37 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $1,174.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $1,380.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $691.83 / $1,348.96