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Full-Thickness Lip Removal With Reconstruction

New York rates for HCPCS 40525

Removes a full-thickness section of the lip containing a growth, taking the skin, the muscle, and the lining together. Neighbouring lip tissue is then moved across to close the gap and rebuild the lip's shape and border. Removal and rebuilding are done at the same operation.

Facilitymedian $4,074 · 10th–90th $832$9,1200%5%10th90th$4,074$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,715.35
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,549.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,698.24
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,235.94
Typical High
$53,703.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$1,778.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$2,290.87