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Nationwide rates for HCPCS 40654

Repair lip, full thickness; over one-half vertical height, or complex

Facilitymedian $3,981 · 10th–90th $692–$10,4710%5%10%10th90th$3,981Professionalmedian $617 · 10th–90th $417–$1,3180%20%10th90th$617$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$676.08 / $3,715.35 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,309.57 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,905.46 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $676.08 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,691.53 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $1,122.02

See more rates by state

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