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Indiana rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.09 / $562.58 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.19 / $437.70 / $555.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $5,061.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.76 / $397.88 / $565.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.45 / $430.35 / $638.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.82 / $562.58 / $670.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.92 / $365.92 / $365.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.98 / $507.20 / $732.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.56 / $533.73 / $1,089.26