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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.81 / $424.77 / $591.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.92 / $538.98 / $766.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.16 / $592.16 / $592.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.67 / $606.17 / $1,311.17