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Tennessee rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.63 / $2,479.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.64 / $466.36 / $702.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,522.00 / $2,430.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $492.08 / $775.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $519.86 / $1,062.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.98 / $2,561.64 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.32 / $3,750.56 / $4,426.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $786.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.74 / $550.98 / $1,108.89