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Washington rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Facilitymedian $1,023 · 10th–90th $575$13,4900%5%10th90th$1,023Professionalmedian $603 · 10th–90th $363$1,3180%10%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,398.83 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $1,348.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,479.11 / $2,951.21
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $758.58 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $1,445.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $776.25 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $977.24 / $1,023.29
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $691.83 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $1,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,513.56 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $758.58 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,819.70 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $1,202.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $831.76