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Maryland rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.46 / $152.46 / $637.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $437.70 / $903.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.86 / $392.86 / $465.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.87 / $510.72 / $848.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.38 / $631.10 / $1,039.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.67 / $549.74 / $1,104.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.29 / $407.65 / $627.03