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Illinois rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.02 / $1,512.27 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.81 / $496.46 / $867.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.72 / $3,343.53 / $7,292.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.11 / $593.37 / $876.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.09 / $562.30 / $878.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.41 / $728.10 / $2,004.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.03 / $456.89 / $705.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $813.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $963.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.27 / $651.42 / $1,072.17