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Wisconsin rates for HCPCS 40652

Repair lip, full thickness; up to half vertical height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $758.58 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,000.00 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,949.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $977.24 / $4,897.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $912.01 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,047.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,905.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,862.09