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Virginia rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,168.69 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $812.83 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $489.78 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $812.83