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Idaho 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
$2,897.00 / $3,032.80 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.76 / $645.63 / $1,695.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.66 / $665.60 / $939.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.04 / $836.54 / $1,695.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.43 / $946.82 / $1,095.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $918.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.94 / $3,749.50 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.52 / $865.21 / $1,182.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.56 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.19 / $770.80 / $1,223.22