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Indiana rates for HCPCS 40650

Repair Lip Full Thickness Vermilion Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.97 / $1,066.45 / $11,093.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.23 / $353.24 / $389.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $5,061.00 / $9,462.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.16 / $376.04 / $592.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.92 / $365.92 / $365.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00