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Arizona rates for HCPCS 40654

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.66 / $553.88 / $842.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.03 / $589.11 / $803.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.09 / $547.20 / $928.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.48 / $581.83 / $3,023.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.48 / $595.08 / $4,369.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $2,399.00 / $4,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.80 / $562.02 / $749.33