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New York rates for HCPCS 40650

Repair lip, full thickness; vermilion only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.62 / $2,865.00 / $8,095.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$252.30 / $360.13 / $535.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,382.00 / $4,707.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.30 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.13 / $537.13 / $537.13
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$375.99 / $375.99 / $375.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.00 / $387.00 / $850.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.32 / $990.78 / $1,154.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.13 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$375.99 / $375.99 / $375.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.21 / $381.21 / $1,128.53
Univera
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$343.09 / $343.09 / $343.09