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Idaho rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.58 / $544.65 / $1,497.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.79 / $572.57 / $835.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.41 / $734.10 / $1,497.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.89 / $838.46 / $969.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $811.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.20 / $1,253.59 / $1,674.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $734.55 / $1,043.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.49 / $639.76 / $991.13