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Virginia rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.08 / $3,988.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.59 / $438.56 / $633.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.32 / $503.15 / $769.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.86 / $393.64 / $1,013.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.58 / $533.41 / $932.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.60 / $615.08 / $732.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.43 / $528.02 / $738.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.00 / $693.00 / $979.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.41 / $475.79 / $1,380.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.92 / $643.32 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.67 / $548.16 / $930.78