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Washington rates for HCPCS 40650

Repair Lip Full Thickness Vermilion Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.10 / $1,086.65 / $14,960.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$325.79 / $592.54 / $885.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.31 / $1,559.22 / $3,448.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$575.37 / $1,027.57 / $1,031.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.37 / $646.73 / $1,110.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.45 / $627.00 / $1,113.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.77 / $842.86 / $976.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.79 / $652.77 / $666.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.58 / $1,549.85 / $2,982.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $588.00 / $5,793.00