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Full-Thickness Lip Removal With Flap Repair

Ohio rates for HCPCS 40527

Removal of a growth from the lip through its full thickness — the outer skin, the muscle beneath and the moist lining inside — followed by rebuilding the gap with a flap of neighbouring tissue that keeps its own blood supply. Reconstructing this way restores the shape of the mouth and the ability to close the lips, speak and eat. It is used when the area removed is too large to simply stitch together.

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $1,175$12,5890%10%10th90th$3,715Professionalmedian $724 · 10th–90th $562$3,7150%20%10th90th$724$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,174.90
Median
$3,715.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,168.69
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,258.93
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,096.48