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Florida 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
$467.51 / $3,279.00 / $11,102.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.71 / $496.73 / $716.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $655.25 / $780.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.57 / $560.66 / $882.47
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.00 / $4,821.00 / $9,360.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.35 / $450.18 / $680.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $459.83 / $690.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,611.00 / $6,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.50 / $536.90 / $947.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.69 / $452.95 / $452.95