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California rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $6,760.83 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,412.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $891.25 / $8,709.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $954.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,122.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,466.84 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $724.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $870.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $1,000.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,698.24
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,548.82 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $891.25