go back

Tennessee rates for HCPCS 40650

Repair lip, full thickness; vermilion only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.69 / $2,520.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$206.83 / $455.02 / $758.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,430.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.19 / $2,244.48 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,031.06 / $1,147.58 / $1,147.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $786.00 / $2,577.00