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Ohio rates for HCPCS 40650

Repair lip, full thickness; vermilion only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.02 / $3,785.00 / $10,268.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$234.04 / $413.51 / $1,080.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.00 / $2,191.00 / $4,072.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.52 / $446.35 / $446.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.38 / $898.38 / $898.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $975.00 / $2,914.00