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West Virginia rates for HCPCS 40650

Repair lip, full thickness; vermilion only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.83 / $459.58 / $1,700.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$228.62 / $228.62 / $344.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.20 / $371.04 / $404.26
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