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New York rates for HCPCS 40520

Excision of lip; V-excision with primary direct linear closure

Facilitymedian $3,890 · 10th–90th $603–$9,1200%5%10th90th$3,890Professionalmedian $513 · 10th–90th $355–$1,2300%10%10th90th$513$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
$549.54 / $3,090.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $1,202.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $616.60 / $1,548.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $1,258.93
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $724.44 / $1,148.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $933.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
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 / $588.84 / $741.31
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
$295.12 / $512.86 / $1,202.26
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $1,445.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,174.90