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Full-Thickness Lip Repair, Up to Half the Lip

Wisconsin rates for HCPCS 40652

Surgical repair of a wound or defect that passes all the way through the lip, involving the skin, the muscle inside, and the lining. Each layer is stitched separately so the lip closes, seals, and moves normally, with the border between lip and skin lined up carefully. This is the version for repairs covering up to half the height of the lip.

Rates data updated July 2026.

Facilitymedian $2,818 · 10th–90th $661$5,7540%10%10th90th$2,818Professionalmedian $776 · 10th–90th $398$2,1380%5%10th90th$776$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,000.00
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$1,949.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,000.00
Typical High
$5,128.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$977.24
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,047.13
Network Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,174.90
Typical High
$2,041.74
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,905.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,238.72
Typical High
$2,238.72
Quartz
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$3,715.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,905.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$1,905.46