go back

Massachusetts rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.80 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.22 / $508.80 / $735.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,181.71 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.16 / $802.13 / $2,648.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.34 / $569.84 / $1,005.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.16 / $766.18 / $1,631.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.70 / $799.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.52 / $736.76 / $1,018.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.25 / $961.65 / $1,425.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,518.98 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.65 / $1,002.53 / $3,750.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.96 / $763.76 / $1,573.55