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Full-Thickness Lip Removal With Flap Repair

Vermont 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 October 2026.

How much does Full-Thickness Lip Removal With Flap Repair cost?

$955

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $759 to $1,047.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $407 to $6,761Professionalmedian $933 · 10th to 90th $661 to $1,318
$500$1K$2K$5Kfacility $1,698professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$691.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$954.99
Typical High
$1,380.38
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$870.96
Typical High
$1,380.38

Where Vermont sits

The same service costs 5.9 times more in Oklahoma than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 24th of 51

$955

OK $2,630UT $447

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.