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Pennsylvania rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $3,494.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.31 / $438.56 / $625.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.37 / $529.63 / $529.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.91 / $493.94 / $806.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.76 / $796.84 / $823.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.86 / $1,482.07 / $3,056.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.46 / $503.36 / $1,820.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.50 / $477.50 / $505.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.09 / $506.87 / $822.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.41 / $413.46 / $504.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.37 / $418.57 / $542.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.89 / $562.62 / $991.84